Individual provider Active NPI

David T Meadows, M.D.

  • Family Medicine Physician
  • Sisseton, SD
National Provider Identifier
1770514390
Registry record updated Jun 23, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
49097 Issued in CO
Practice address
205 Orchard Dr
Sisseton, SD 57262-2312
Phone
(605) 698-7681
Fax
(605) 698-3493
NPI assigned
Jul 5, 2006
Last updated
Jun 23, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A73320 CA
Family Medicine Physician 207Q00000X 49097 CO Primary
Family Medicine Physician 207Q00000X 9701 SD

Addresses

Primary practice location

205 Orchard Dr
Sisseton, SD 57262-2312

Mailing address

205 Orchard Dr
Sisseton, SD 57262-2312
Phone (605) 698-7681

Other identifiers 3

IdentifierTypeStateIssuer
S110296OtherSDMEDICARE ID
S110305CAHOtherSDPROVIDER TRANSACTION PROVIDER NUMBER
92238360MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
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

Enrollment IDStateProvider typePAC IDDetails
I20230831001228 AK Practitioner - Family Practice 3870568694 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A73320CAMDFamily Medicine Physician
49097COMDFamily Medicine Physician
9701SDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Sound Health Corporation Family Medicine CurrentSince Jul 24, 2023 Accepting new patients
Norton Sound Health Corporation Current Accepting new patients
Teladoc Health Medical Group, P.a. Family Medicine Current Accepting new patients
Norton Sound Health Corporation CurrentSince Jul 24, 2023 Accepting new patients
Yuba Docs Medical Group, Inc PastSince Jul 1, 2009 Accepting new patients
Norton Sound Health Corp Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: davidmeadows@tdh.allscriptsdirect.net
  • Direct secure messaging: dtmeadows@direct.nshcorp.org

Organizations & group practices 6

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": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466640000000",
    "number": "1770514390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 ORCHARD DR",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572622312",
            "telephone_number": "605-698-7681",
            "fax_number": "605-698-3493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 ORCHARD DR",
            "city": "SISSETON",
            "state": "SD",
            "postal_code": "572622312",
            "telephone_number": "605-698-7681",
            "fax_number": "605-698-3493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "DAVID",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2016-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A73320",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "49097",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "9701",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "S110296",
            "state": "SD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER TRANSACTION PROVIDER NUMBER",
            "identifier": "S110305CAH",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "92238360",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sisseton, SD

Sources for this page

Verify at the official NPI Registry.