Active NPI
Meenakshi Devi Palani, D.O.
- Gynecologic Oncology Physician
- Fort Madison, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecologic Oncology Physician
- License
- 53621-21
- Practice address
- 5409 Avenue O
Fort Madison, IA 52627-9601 - Phone
- (319) 376-2134
- Fax
- (319) 376-2188
- NPI assigned
- Jun 2, 2008
- Last updated
- May 15, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecologic Oncology Physician | 207VX0201X | 53621-21 | WI | Primary |
| Obstetrics & Gynecology Physician | 207V00000X | 4247 | IA |
Addresses
Primary practice location
5409 Avenue O
Fort Madison, IA 52627-9601
Mailing address
5409 Avenue O
Fort Madison, IA 52627-9601
Phone (319) 376-2134
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669631099 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
720 S Vanburen St
Suite 201
Green Bay, WI 54301-3534
Phone (920) 433-7488
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4247 | IA | MD | Obstetrics & Gynecology Physician |
| 53621-21 | WI | MD | Gynecologic Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bellin Memorial Hospital Inc | Multi-Specialty | Current | Accepting new patients |
| Oconto Hospital & Medical Center Inc | Multi-Specialty | Current | Accepting new patients |
| Oconto Hospital & Medical Center, Inc. | Multi-Specialty | Current | Accepting new patients |
| Oconto Hospital & Medical Center Inc | Multi-Specialty | Current | Accepting new patients |
| Bellin Memorial Hospital Inc | Multi-Specialty | Current | Accepting new patients |
| Bellin Memorial Hospital Inc | Multi-Specialty | Current | Accepting new patients |
| Southeast Iowa Regional Medical Center, Inc. | Multi-Specialty | Past | Accepting new patients |
| Bellin Memorial Hospital Inc | Multi-Specialty | Past | Accepting new patients |
Locations
2641 Development Dr
Green Bay, WI 54311
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
Interoperability endpoints
- lbishop@fmchosp.gwaydirect.com
- mpalani189393@direct.thedacare.org
- mpalani924986@direct.emplifyhealth.org
Organizations & group practices 8
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.
-
dba Bellin Health Algoma
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
Multi-Specialty
-
dba Emplify Health Oconto Hospital
- Critical Access Hospital
- Oconto, WI
- NPI 1356373302
Multi-Specialty
-
dba Bellin Health
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
Multi-Specialty
-
dba Cardiology Associates of Bellin Health
- Cardiovascular Disease Physician
- Green Bay, WI
- NPI 1467771535
Multi-Specialty
-
dba Bellin Health Suring
- Rural Health Clinic/Center
- Suring, WI
- NPI 1104418037
Multi-Specialty
-
dba Bellin Health Crivitz
- Rural Health Clinic/Center
- Crivitz, WI
- NPI 1174971725
Multi-Specialty
-
dba Southeast Iowa Regional Medical Center
- General Practice Physician
- West Burlington, IA
- NPI 1164433884
Multi-Specialty
-
dba FMC Brillion
- Family Medicine Physician
- Brillion, WI
- NPI 1962464784
Multi-Specialty
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Green Bay, WI
- NPI 1891740585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526342400000",
"number": "1669631099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5409 AVENUE O",
"city": "FORT MADISON",
"state": "IA",
"postal_code": "526279601",
"telephone_number": "319-376-2134",
"fax_number": "319-376-2188"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5409 AVENUE O",
"city": "FORT MADISON",
"state": "IA",
"postal_code": "526279601",
"telephone_number": "319-376-2134",
"fax_number": "319-376-2188"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALANI",
"first_name": "MEENAKSHI",
"middle_name": "DEVI",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-06-02",
"last_updated": "2018-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207VX0201X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology, Gynecologic Oncology",
"state": "WI",
"license": "53621-21",
"primary": true
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IA",
"license": "4247",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1669631099",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Madison, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.