Individual provider Active NPI

Patrick J Meyer, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Grand Rapids, MI
National Provider Identifier
1679501290
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
5901001847 Issued in MI
Practice address
2144 E Paris Ave SE Ste 100
Grand Rapids, MI 49546-6117
Phone
(616) 281-0666
Fax
(616) 281-0752
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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 5901001847 MI Primary

Addresses

Primary practice location

2144 E Paris Ave SE Ste 100
Grand Rapids, MI 49546-6117

Mailing address

2144 E. Paris Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 281-0666

Other practice location 1

6050 Northland Dr NE Ste 180
Rockford, MI 49341-9258
Phone (616) 363-9833

Other identifiers 3

IdentifierTypeStateIssuer
1266510002OtherMIADMINISTAR
4815333MedicaidMI
480030358OtherMIMEDICARE RAILROAD

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address pmeyer@weil.emadirect.md Direct
Direct Messaging Address pmeyer@weil.emadirect.md Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050405000105 MI Practitioner - Podiatry 4981651700 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Foot and Ankle Specialists of West Michigan P L L CGroup PAC ID 2769475441, 12 clinicians
Center for Physical Rehabilitation IncGroup PAC ID 6901717768, 352 clinicians
Center for Physical Rehabilitation and Therapy LPGroup PAC ID 0941513303, 365 clinicians

Practice addresses (Care Compare)

2144 E Paris Ave SE
Suite 100
Grand Rapids, MI 49546-6117
Phone (616) 281-0666

5060 Cascade Rd
Suite a
Grand Rapids, MI 49546-3808

5060 Cascade Rd SE
Suite a
Grand Rapids, MI 49546-3808

Hospital & facility affiliations

  • Spectrum Health Hospital, Grand Rapids, MI, CCN 230038

Merit-based Incentive Payment System (MIPS)

Final score
95.38 of 100Reported as individual
Quality
90.77
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue50
Removal of skin lesions108
Removal of nail tissue383
Removal or shaving of skin growth29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5901001847MIMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Specialists of West Michigan P L L C Foot & Ankle Surgery CurrentSince Jul 1, 2000 Accepting new patients
Foot & Ankle Specialists of West Michigan P L L C Foot & Ankle Surgery CurrentSince Jan 1, 2000 Accepting new patients

Locations

1660 Feehanville Dr
Ste 450
Mt Prospect, IL 60056
Phone (847) 250-9629

5175 Plainfield Ave NE
Grand Rapids, MI 49525
Phone (616) 453-0294

2144 East Paris Ave SE
Ste 100
Grand Rapids, MI 49546
Phone (616) 281-0666

6050 Northland Dr NE
Ste 180
Rockford, MI 49341
Phone (616) 363-9833

Interoperability endpoints

  • Direct secure messaging: pmeyerweil4feet.com@weil.emadirect.md

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1679501290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2144 E. PARIS AVE SE",
            "address_2": "STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "49546",
            "telephone_number": "616-281-0666",
            "fax_number": "616-281-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2144 E PARIS AVE SE STE 100",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495466117",
            "telephone_number": "616-281-0666",
            "fax_number": "616-281-0752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6050 Northland Dr NE Ste 180",
            "address_purpose": "LOCATION",
            "city": "Rockford",
            "state": "MI",
            "postal_code": "493419258",
            "country_code": "US",
            "telephone_number": "616-363-9833",
            "fax_number": "616-363-9701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEYER",
        "first_name": "PATRICK",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "MI",
            "license": "5901001847",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ADMINISTAR",
            "identifier": "1266510002",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4815333",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "480030358",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmeyer@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2144 E Paris Ave SE Ste 100",
            "city": "Grand Rapids",
            "state": "MI",
            "country_code": "US",
            "postal_code": "495466117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pmeyer@weil.emadirect.md",
            "affiliation": "N",
            "endpointDescription": "Weil",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "6050 Northland Dr NE Ste 180",
            "city": "Rockford",
            "state": "MI",
            "country_code": "US",
            "postal_code": "493419258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.