Individual provider Active NPI

Derek Smith Meeks, DO

  • Emergency Medicine Physician
  • Boulder City, NV
National Provider Identifier
1780801100
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
818 Issued in NV
Practice address
901 Adams Blvd
Boulder City, NV 89005-2213
Phone
(702) 293-4111
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 818 NV Primary

Addresses

Primary practice location

901 Adams Blvd
Boulder City, NV 89005-2213

Mailing address

53 Pheasant Ridge Dr
Henderson, NV 89014-2162
Phone (702) 450-3137

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, TX, AZ3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20110214000953 NV Practitioner - Emergency Medicine 8224218870 Reassigns benefits to 1 organization
I20230927000026 TX Practitioner - Emergency Medicine 8224218870 Reassigns benefits to 1 organization
I20240321003609 AZ Practitioner - Emergency Medicine 8224218870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innova Emergency Medical Associates PCGroup PAC ID 2860633435, 69 clinicians

Practice addresses (Care Compare)

1501 N Williamson Ave
Winslow, AZ 86047-2735
Phone (844) 466-6827

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Innova Emergency Medical Associates PC Emergency Medicine CurrentSince Feb 11, 2024 Accepting new patients
Hoover Emergency Physicians LLC Emergency Medicine CurrentSince Jan 3, 2011 Accepting new patients
Dilkon Medical Center Current Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Aug 21, 2023 Accepting new patients
Winslow Indian Health Care Center, Inc CurrentSince Aug 21, 2023 Accepting new patients
Southwest Emergency Services, Inc. Emergency Medicine Past Accepting new patients
Boulder City Hospital Inc. PastSince Jan 1, 2009 Accepting new patients

Locations

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691

500 Indiana Ave
Winslow, AZ 86047

901 Adams Blvd
Boulder City, NV 89005
Phone (702) 293-4111

Organizations & group practices 7

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1780801100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 PHEASANT RIDGE DR",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890142162",
            "telephone_number": "702-450-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "901 ADAMS BLVD",
            "city": "BOULDER CITY",
            "state": "NV",
            "postal_code": "890052213",
            "telephone_number": "702-293-4111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEEKS",
        "first_name": "DEREK",
        "middle_name": "SMITH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NV",
            "license": "818",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder City, NV

Sources for this page

Verify at the official NPI Registry.