Individual provider Active NPI

Samuel Benjamin Meyers, DPM

  • Foot & Ankle Surgery Podiatrist
  • Mill Valley, CA
National Provider Identifier
1659672590
Registry record updated Jul 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
E5063 Issued in CA
Practice address
7 N Knoll Rd
Suite 3
Mill Valley, CA 94941-1663
Phone
(415) 388-2777
Fax
(415) 388-2778
NPI assigned
Nov 9, 2010
Last updated
Jul 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X E5063 CA Primary

Addresses

Primary practice location

7 N Knoll Rd
Suite 3
Mill Valley, CA 94941-1663

Mailing address

7 N Knoll Rd
Suite 3
Mill Valley, CA 94941-1663
Phone (415) 388-2777

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140226000879 CA Practitioner - Podiatry 0648400309 Reassigns benefits to 2 organizations
Practice locations: Mill Valley, CA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

23141 Moulton Pkwy
Suite 109
Laguna Woods, CA 92653-1241
Phone (919) 272-0007

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.02 of 100Reported as group
Quality
79
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue63
Removal of skin lesions1-10
Removal of nail tissue251
Removal or shaving of skin growth99
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
E5063CAMDFoot & Ankle Surgery Podiatrist
5063CAMDClinical Nurse Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Visoth Chan, D.P.M., Inc. Foot & Ankle Surgery CurrentSince Sep 1, 2020 Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Marin Foot and Ankle PastSince Mar 1, 2016 Accepting new patients

Locations

26732 Crown Valley Pkwy
Ste 317
Mission Viejo, CA 92691
Phone (949) 364-2525

Interoperability endpoints

  • Direct secure messaging: samuel.meyers.1@20181.direct.athenahealth.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1373587200000",
    "number": "1659672590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 N KNOLL RD",
            "address_2": "SUITE 3",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411663",
            "telephone_number": "415-388-2777",
            "fax_number": "415-388-2778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 N KNOLL RD",
            "address_2": "SUITE 3",
            "city": "MILL VALLEY",
            "state": "CA",
            "postal_code": "949411663",
            "telephone_number": "415-388-2777",
            "fax_number": "415-388-2778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEYERS",
        "first_name": "SAMUEL",
        "middle_name": "BENJAMIN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-09",
        "last_updated": "2013-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mill Valley, CA

Sources for this page

Verify at the official NPI Registry.