Individual provider Active NPI

Daltrey Allen Meitz, DO

  • Diagnostic Radiology Physician
  • Fort Sam Houston, TX
National Provider Identifier
1679107361
Registry record updated Mar 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0102206850 Issued in VA
Practice address
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Phone
(210) 916-7500
NPI assigned
Mar 3, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 0102206850 VA
Diagnostic Radiology Physician 2085R0202X 0102206850 VA Primary
Diagnostic Radiology Physician 2085R0202X 036176974 IL
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Mailing address

3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, TX, WA, IL4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20250905003944 WI Practitioner - Diagnostic Radiology 7618479957 Reassigns benefits to 1 organization
I20251004000100 TX Practitioner - Diagnostic Radiology 7618479957 Reassigns benefits to 12 organizations
I20251222003312 WA Practitioner - Diagnostic Radiology 7618479957 Reassigns benefits to 1 organization
I20260116002005 IL Practitioner - Diagnostic Radiology 7618479957 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Samaritan Regional Health CenterGroup PAC ID 1658272059, 155 clinicians
Premier Radiology Wisconsin LLCGroup PAC ID 9537595533, 111 clinicians
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians
Imaging Associates of New Mexico LLCGroup PAC ID 4981970233, 164 clinicians
St Marys Hospital Centralia IllinoisGroup PAC ID 6709788920, 118 clinicians
Multicare Health SystemGroup PAC ID 7719899897, 2,312 clinicians
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians
Louisville Radiology Imaging Consultants PLLCGroup PAC ID 2264436120, 103 clinicians
Imaging Associates of Michigan PLLCGroup PAC ID 9537434386, 148 clinicians
Radiology Alliance PCGroup PAC ID 1850280470, 449 clinicians

Practice addresses (Care Compare)

1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (557) 203-1601

10180 Washington Ave
Mount Pleasant, WI 53177-1604
Phone (414) 973-7830

2301 Douglas Dr
San Angelo, TX 76904-5410
Phone (718) 223-4685

3719 Coggeshall LN
San Antonio, TX 78257-5079
Phone (424) 290-8004

400 N Pleasant Ave
Centralia, IL 62801-3056
Phone (618) 436-8000

4700 Point Fosdick Dr
Gig Harbor, WA 98335-1706

5467 Statesman LN
Frisco, TX 75034-3626
Phone (309) 671-8282

5502 Carriage FLS
San Antonio, TX 78261-4417
Phone (888) 316-3880

6514 Pemview
San Antonio, TX 78240-2553
Phone (906) 449-3000

8 Ancient BND
San Antonio, TX 78248-1637
Phone (615) 312-0600

Hospital & facility affiliations

  • Lovelace Westside Hospital Hospital, Albuquerque, NM, CCN 320074
  • Lovelace Women'S Hospital Hospital, Albuquerque, NM, CCN 320017
  • Lovelace Medical Center Hospital, Albuquerque, NM, CCN 320009
  • Mymichigan Medical Center Saginaw Hospital, Saginaw, MI, CCN 230077
  • Garnet Health Medical Center Hospital, Middletown, NY, CCN 330126

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036176974ILMDDiagnostic Radiology Physician
0102206850VAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Oct 11, 2025 Accepting new patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Feb 9, 2026 Accepting new patients
Singleton Associates PA Diagnostic Radiology CurrentSince Sep 24, 2025 Accepting new patients
Imaging Associates of Michigan PLLC Diagnostic Radiology CurrentSince Feb 24, 2026 Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Dec 3, 2025 Accepting new patients
Multicare Health System CurrentSince Dec 3, 2025 Accepting new patients
Premier Radiology Wisconsin, LLC Diagnostic Radiology CurrentSince Aug 22, 2025 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Sep 24, 2025 Accepting new patients
Imaging Associates of New Mexico LLC Diagnostic Radiology CurrentSince Oct 3, 2025 Accepting new patients
Good Samaritan Regional Health Center CurrentSince Dec 10, 2025 Accepting new patients
Multicare Health System CurrentSince Dec 3, 2025 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Jan 25, 2026 Accepting new patients
Good Samaritan Regional Health Center Diagnostic Radiology CurrentSince Dec 10, 2025 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois CurrentSince Dec 10, 2025 Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Sep 20, 2025 Accepting new patients
St. Mary'S Hospital, Centralia, Illinois Diagnostic Radiology CurrentSince Dec 10, 2025 Accepting new patients
Synergy Radiology Associates PLLC Past Accepting new patients
Community Radiology Associates P a Diagnostic Radiology Past Accepting new patients
Progressive Physician Assoc Inc Diagnostic Radiology PastSince Mar 1, 2022 Accepting new patients
GMG Health Systems Associates PA Past Accepting new patients
Radiology Associates of Canton, Inc. Diagnostic Radiology Past Accepting new patients
Wisconsin Radiology Specialists, S C Past Accepting new patients

Locations

400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221

1003 E McCord St
Centralia, IL 62801
Phone (618) 436-5231

1937 Momentum Pl
Chicago, IL 60689

7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155

5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601

1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600

602 S 42nd St
Ste B
Mount Vernon, IL 62864
Phone (618) 899-3278

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

1201 S Main St
Ste 1
Crown Point, IN 46307

374 Stockholm St
Brooklyn, NY 11237
Phone (718) 963-6485

8881 State Route 97
Callicoon, NY 12723
Phone (845) 333-6800

102 Clowes Ave
Goshen, NY 10924
Phone (845) 333-7200

707 E Main St
Middletown, NY 10940
Phone (845) 333-1000

38 Concord Rd
Monticello, NY 12701
Phone (845) 333-6500

16 Guion Pl
New Rochelle, NY 10801
Phone (914) 365-3680

160 N Midland Ave
Nyack, NY 10960
Phone (845) 348-2000

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

992 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-2910

967 N Broadway
Yonkers, NY 10701
Phone (914) 798-8956

9440 Poppy Dr
Dallas, TX 75218
Phone (214) 324-6100

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

100 Medical Dr
Lake Jackson, TX 77566
Phone (713) 496-7555

9155 Grapevine Hwy
Ste 120
North Richland Hills, TX 76180

4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590

10180 Washington Ave
Mount Pleasant, WI 53177
Phone (414) 769-4040

Organizations & group practices 27

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

View all 27

Hospital & facility affiliations 5

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": "1583193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772496000000",
    "number": "1679107361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "city": "FORT SAM HOUSTON",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEITZ",
        "first_name": "DALTREY",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-03",
        "last_updated": "2026-03-03",
        "certification_date": "2026-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0102206850",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0102206850",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036176974",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Sam Houston, TX

Sources for this page

Verify at the official NPI Registry.