Individual provider Active NPI

Meredith Culbertson, DO

  • Emergency Medicine Physician
  • Muskegon, MI
National Provider Identifier
1831763804
Registry record updated Dec 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
5101027422 Issued in MI
Practice address
1675 Leahy St Ste 201
Muskegon, MI 49442-5542
Phone
(502) 644-3232
NPI assigned
May 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Emergency Medicine Physician 207P00000X 5101027422 MI Primary

Addresses

Primary practice location

1675 Leahy St Ste 201
Muskegon, MI 49442-5542

Mailing address

813 Ruddiman Dr
North Muskegon, MI 49445-2927
Phone (502) 644-3232

Other practice location 1

905 E Colby St
Whitehall, MI 49461-1262
Phone (231) 672-8050

Other practice location 2

1500 E Sherman Blvd
Muskegon, MI 49444-1849
Phone (231) 672-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, VA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20231218000272 MI Practitioner - Emergency Medicine 6507215415 Reassigns benefits to 4 organizations
I20250818002205 VA Practitioner - Emergency Medicine 6507215415 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Campbell Univ School of Osteopathic Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians of TidewaterGroup PAC ID 5092618462, 167 clinicians

Practice addresses (Care Compare)

2800 Godwin Blvd
Suffolk, VA 23434-8038
Phone (757) 934-4000

Hospital & facility affiliations

  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Sentara Princess Anne Hospital Hospital, Virginia Beach, VA, CCN 490119
  • Sentara Virginia Beach General Hospital Hospital, Virginia Beach, VA, CCN 490057
  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Tidewater Emergency Medicine CurrentSince Jul 1, 2025 Accepting new patients
Lake Michigan Observation Services PLLC CurrentSince Jul 11, 2024 Accepting new patients
Caberfae Emergency Group, P.C. Emergency Medicine CurrentSince Oct 3, 2024 Accepting new patients
Grand River Emergency Medical Group PLC Emergency Medicine CurrentSince Oct 18, 2024 Accepting new patients
Mercy Health Partners CurrentSince Nov 12, 2023 Accepting new patients
Lake Michigan Emergency Specialists, PLLC Emergency Medicine CurrentSince Jul 11, 2024 Accepting new patients
Mercy Health Partners CurrentSince Nov 12, 2023 Accepting new patients
Saint Mary'S Health Services Past Accepting new patients

Locations

400 Hobart St
Cadillac, MI 49601
Phone (231) 876-7200

200 Jefferson Ave SE
Grand Rapids, MI 49503
Phone (616) 685-5000

1465 E Parkdale Ave
Manistee, MI 49660
Phone (231) 398-1000

1500 E Sherman Blvd
Muskegon, MI 49444
Phone (231) 672-3027

71 Bevier St
Shelby, MI 49455
Phone (231) 861-2172

72 S State St
Shelby, MI 49455
Phone (231) 728-4601

905 E Colby St
Whitehall, MI 49461
Phone (231) 672-8050

2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 363-6850

Organizations & group practices 8

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 6

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": "1620950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702339200000",
    "number": "1831763804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "813 RUDDIMAN DR",
            "city": "NORTH MUSKEGON",
            "state": "MI",
            "postal_code": "494452927",
            "telephone_number": "502-644-3232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 LEAHY ST STE 201",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494425542",
            "telephone_number": "502-644-3232"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "905 E Colby St",
            "address_purpose": "LOCATION",
            "city": "Whitehall",
            "state": "MI",
            "postal_code": "494611262",
            "country_code": "US",
            "telephone_number": "231-672-8050",
            "fax_number": "231-672-8048",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 E Sherman Blvd",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494441849",
            "country_code": "US",
            "telephone_number": "231-672-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CULBERTSON",
        "first_name": "MEREDITH",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-14",
        "last_updated": "2023-12-12",
        "certification_date": "2023-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MI",
            "license": "5101027422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Muskegon, MI

Sources for this page

Verify at the official NPI Registry.