David Meduna, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

M5374 Issued in TX

Practice address

1602 Rock Prairie Rd Ste 3100
College Station, TX 77845-5990

Phone

(979) 764-6868

Fax

(979) 694-8804

NPI assigned

Nov 15, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

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

Interoperability endpoints

• Direct secure messaging: david.meduna.1@15235.direct.athenahealth.com
• Direct secure messaging: dmedun02@yourcarecommunity.org

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.

• Regional Employee Assistance Program Inc

  • Family Medicine Physician
  • Corsicana, TX
  • NPI 1649232984

  Obstetrics & Gynecology

  Medicare reassignment NPD
• Regional Employee Assistance Program Inc

  • Internal Medicine Physician
  • College Station, TX
  • NPI 1053373951

  Obstetrics & Gynecology

  NPD
• Regional Employee Assistance Program Inc

  • Cardiovascular Disease Physician
  • Abilene, TX
  • NPI 1073575585
  NPD
• Tomagwa Ministries, Inc

  • Federally Qualified Health Center (FQHC)
  • Tomball, TX
  • NPI 1417543422
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384819200000",
    "number": "1871666461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD STE 3100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455990",
            "telephone_number": "979-764-6868",
            "fax_number": "979-694-8804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 ROCK PRAIRIE RD STE 3100",
            "city": "COLLEGE STATION",
            "state": "TX",
            "postal_code": "778455990",
            "telephone_number": "979-764-6868",
            "fax_number": "979-694-8804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDUNA",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2013-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "M5374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF TEXAS",
            "identifier": "8AE860",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "184841801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medfund LLC
• Medi-Care Equipment Specialties Inc.
• Medical Care Innovation, P.C.
• Medina Health Servcices
• Medtech Transportation Corp
• Christian Meek, PH.D.
• Megan Danielle Meerscheidt, M.A., LPC, LMFT
• Namrata P Mehta, PT
• Gregory Mark Melton, DDS
• Taylor Zachariah Mercer

• Obstetrics & Gynecology Physician in College Station, TX
• Providers in College Station, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2013; 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.