Ageselaos John Meares, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

7059A Issued in WY

Practice address

1760 Prairie Ave Ste 100
Cheyenne, WY 82009-4833

Phone

(307) 263-4022

Fax

(307) 263-4023

NPI assigned

Dec 6, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WY

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 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/19427/brand/1/csg/1/fhir/r4
• Direct secure messaging: ageselaos.meares.1@19427.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/22460/brand/1/csg/1/fhir/r4

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.

• Snowy Range Kidney Care LLC

  • Nephrology Physician
  • Laramie, WY
  • NPI 1306461108
  Medicare reassignment NPD
• Creighton University

  • Allergy & Immunology (Internal Medicine) Physician
  • Omaha, NE
  • NPI 1295777225

  Nephrology

  NPD (past)
• Creighton University

  • Clinic Pharmacy
  • Omaha, NE
  • NPI 1477547347
  NPD (past)
• Rocky Mountain Kidney Care LLC

  • Nephrology Physician
  • Lone Tree, CO
  • NPI 1861082117
  NPD (past)

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668124800000",
    "number": "1740264357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 PRAIRIE AVE STE 100",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094833",
            "telephone_number": "307-263-4022",
            "fax_number": "307-263-4023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 PRAIRIE AVE STE 100",
            "city": "CHEYENNE",
            "state": "WY",
            "postal_code": "820094833",
            "telephone_number": "307-263-4022",
            "fax_number": "307-263-4023"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2710 Harney St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Laramie",
            "state": "WY",
            "postal_code": "820722899",
            "country_code": "US",
            "telephone_number": "307-223-0726",
            "fax_number": "307-209-2177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEARES",
        "first_name": "AGESELAOS",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2022-11-11",
        "certification_date": "2022-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WY",
            "license": "7059A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "7059A",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119972200",
            "state": "WY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SUBSTANCE CONTROL",
            "identifier": "719AJM04",
            "state": "WY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ageselaos.meares.1@19427.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "1760 Prairie Ave Ste 100",
            "city": "Cheyenne",
            "state": "WY",
            "country_code": "US",
            "postal_code": "820094833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Meade O Davis III MD PC
• Meadows Outpatient Center Wyoming LLC
• Meals on Wheels of Cheyenne Inc.
• Michael J Means, MD
• Molly E Means, PA
• Med Equip Partners LLC
• Medi Horizons Inc
• Medical Associates
• Medication Management Services Inc
• Medihorizons Inc

• Nephrology Physician in Cheyenne, WY
• Providers in Cheyenne, WY by specialty
• Nephrology Physician in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2022; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.