Individual provider Active NPI

Eric Hal Meshulam, DPM

  • Podiatrist
  • Muncie, IN
National Provider Identifier
1720427040
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
07001225A Issued in IN
Practice address
5501 W Bethel Ave Ste a
Muncie, IN 47304-8513
Phone
(765) 751-5330
Fax
(317) 222-2485
NPI assigned
Jun 19, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 07001225A IN
Foot & Ankle Surgery Podiatrist 213ES0103X 016005803 IL
Podiatrist 213E00000X 07001225A IN Primary

Addresses

Primary practice location

5501 W Bethel Ave Ste a
Muncie, IN 47304-8513

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

130 S Main St Ste 202
Lombard, IL 60148-2670
Phone (331) 221-9004

Other identifiers 4

IdentifierTypeStateIssuer
300093645MedicaidIN
07001225AOtherSTATE IN
016005803MedicaidIL
1104206146OtherINANTHEM PTAN

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address emeshulam@direct.iuhealth.org Direct
Direct Messaging Address emeshulam222119@direct.edward.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20160614002017 IN Practitioner - Podiatry 4082854021 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iu Health Medical Group LLCGroup PAC ID 9638617913, 4,382 clinicians

Practice addresses (Care Compare)

1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258

5501 W Bethel Ave
Muncie, IN 47304-8513
Phone (765) 286-3900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue18
Removal of skin lesions1-10
Removal of nail tissue55
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07001225AINMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Iu Health Medical Group, LLC CurrentSince Oct 1, 2025 Accepting new patients
Indiana University Health Ball Memorial Physicians, Inc. CurrentSince Aug 11, 2024 Accepting new patients
Cardinal Medical Group, LTD. Past Accepting new patients
Endeavor Health Medical Group PastSince Apr 1, 2021 Accepting new patients

Locations

3832 Solutions Ctr
Chicago, IL 60677

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754

221 N Celia Ave
Muncie, IN 47303
Phone (765) 747-3141

5501 W Bethel Ave
Ste A
Muncie, IN 47304
Phone (765) 751-5330

5501 W Bethel Ave
Muncie, IN 47304
Phone (765) 741-2957

Interoperability endpoints

  • Direct secure messaging: emeshulam@direct.iuhealth.org

Organizations & group practices 4

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 1

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1720427040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5501 W BETHEL AVE STE A",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473048513",
            "telephone_number": "765-751-5330",
            "fax_number": "317-222-2485"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "130 S Main St Ste 202",
            "address_purpose": "LOCATION",
            "city": "Lombard",
            "state": "IL",
            "postal_code": "601482670",
            "country_code": "US",
            "telephone_number": "331-221-9004",
            "fax_number": "331-221-2760",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MESHULAM",
        "first_name": "ERIC",
        "middle_name": "HAL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IN",
            "license": "07001225A",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016005803",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IN",
            "license": "07001225A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300093645",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE IN",
            "identifier": "07001225A",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005803",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PTAN",
            "identifier": "1104206146",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emeshulam@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5501 W Bethel Ave Ste A",
            "city": "Muncie",
            "state": "IN",
            "country_code": "US",
            "postal_code": "473048513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emeshulam222119@direct.edward.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "130 S Main St Ste 202",
            "city": "Lombard",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601482670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Muncie, IN

Sources for this page

Verify at the official NPI Registry.