Individual provider Active NPI

Kevin David Meakin, DO

  • Plastic Surgery within the Head & Neck (Otolaryngology) Physician
  • Colorado Springs, CO
National Provider Identifier
1730145418
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery within the Head & Neck (Otolaryngology) PhysicianTaxonomy code 207YX0007X
License
DR.0016815 Issued in CO
Practice address
1625 Medical Center PT Ste 190
Colorado Springs, CO 80907-8721
Phone
(719) 345-1047
Fax
(877) 647-0202
NPI assigned
Apr 22, 2006
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X DR.0016815 CO
Otolaryngology Physician 207Y00000X 0102201092 VA
Plastic Surgery within the Head & Neck (Otolaryngology) Physician 207YX0007X DR.0016815 CO Primary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 0102201092 VA

Addresses

Primary practice location

1625 Medical Center PT Ste 190
Colorado Springs, CO 80907-8721

Mailing address

PO Box 7068
Portsmouth, VA 23707-0068
Phone (757) 686-3508

Other practice location 1

19245 E Smoky Hill Rd Unit A
Centennial, CO 80015-3122
Phone (303) 468-8668

Other identifiers 1

IdentifierTypeStateIssuer
DR0016815OtherCOCOLORADO MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
84.62 of 100Reported as group
Quality
78.78
Improvement activities
40
Cost
77.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DR.0016815COMDAllergy & Immunology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bayview Medical Center, Inc Current Accepting new patients
Bayview Physician Services, PC Current Accepting new patients
Marietta Memorial Hospital Past Accepting new patients

Locations

2000 Meade Pkwy
Suffolk, VA 23434
Phone (757) 539-0251

Interoperability endpoints

  • Direct secure messaging: kevin.meakin@mmhs.medicity.net
  • Direct secure messaging: kevinmeakin@lmcva.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1730145418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7068",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237070068",
            "telephone_number": "757-686-3508",
            "fax_number": "757-686-0541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 MEDICAL CENTER PT STE 190",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809078721",
            "telephone_number": "719-345-1047",
            "fax_number": "877-647-0202"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19245 E Smoky Hill Rd Unit A",
            "address_purpose": "LOCATION",
            "city": "Centennial",
            "state": "CO",
            "postal_code": "800153122",
            "country_code": "US",
            "telephone_number": "303-468-8668",
            "fax_number": "877-647-0202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEAKIN",
        "first_name": "KEVIN",
        "middle_name": "DAVID",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-22",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "CO",
            "license": "DR.0016815",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0102201092",
            "primary": false
        },
        {
            "code": "207YX0007X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Plastic Surgery within the Head & Neck",
            "state": "CO",
            "license": "DR.0016815",
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "VA",
            "license": "0102201092",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO MEDICAL BOARD",
            "identifier": "DR0016815",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.