Individual provider Active NPI

Daniel Richard Meldrum, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Appleton, WI
National Provider Identifier
1861507253
Registry record updated Apr 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
1146 Issued in WI
Practice address
1818 N Meade St
Appleton, WI 54911-3454
Phone
(920) 731-8900
NPI assigned
Aug 19, 2006
Last updated
Apr 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 4301102234 MI
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 01055975A IN
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X 1146 WI Primary

Addresses

Primary practice location

1818 N Meade St
Appleton, WI 54911-3454

Mailing address

3 Neenah Ctr
Neenah, WI 54956-3070

Other practice location 1

900 Cooper Ave
suite 4100
Saginaw, MI 48602-5182
Phone (989) 497-9395

Other practice location 2

900 Cooper Ave
suite 4100
Saginaw, MI 48602-5182
Phone (989) 497-9395

Other practice location 3

1205 S Main St Ste 101
Crown Point, IN 46307
Phone (219) 662-0077

Other identifiers 2

IdentifierTypeStateIssuer
200391990MedicaidIN
P00734144OtherINRAILROAD MEDICARE

Medicare participation

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301102234MIMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Union Hospital Inc. Current Accepting new patients
West Michigan Cardiothoracic Surgeons PLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
CCSG LLC Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Cardiothoracic Surgeons Inc. Thoracic Surgery (Cardiothoracic Vascular Surgery) Past Accepting new patients
Indiana University Health Care Associates, Inc Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dmeldrum@unionhealth.cernerdirect.com

Organizations & group practices 5

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": "1155945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617235200000",
    "number": "1861507253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 NEENAH CTR",
            "city": "NEENAH",
            "state": "WI",
            "postal_code": "549563070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1818 N MEADE ST",
            "city": "APPLETON",
            "state": "WI",
            "postal_code": "549113454",
            "telephone_number": "920-731-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "900 Cooper Ave",
            "address_2": "suite 4100",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486025182",
            "country_code": "US",
            "telephone_number": "989-497-9395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "900 Cooper Ave",
            "address_2": "suite 4100",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486025182",
            "country_code": "US",
            "telephone_number": "989-497-9395",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1205 S Main St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "46307",
            "country_code": "US",
            "telephone_number": "219-662-0077",
            "fax_number": "219-662-9496",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MELDRUM",
        "first_name": "DANIEL",
        "middle_name": "RICHARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-19",
        "last_updated": "2021-04-01",
        "certification_date": "2021-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "MI",
            "license": "4301102234",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IN",
            "license": "01055975A",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "WI",
            "license": "1146",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200391990",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00734144",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Appleton, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.