Individual provider Active NPI

Meredith Blaire Long, MD

  • Physical Medicine & Rehabilitation Physician
  • Denver, CO
National Provider Identifier
1942596168
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
DR.0056210 Issued in CO
Practice address
290 S Monaco Pkwy
Denver, CO 80224-1105
Phone
(303) 355-2525
Fax
(252) 744-3924
NPI assigned
Jun 27, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X DR.0056210 CO Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

290 S Monaco Pkwy
Denver, CO 80224-1105

Mailing address

401 N Michigan Ave Ste 1200
Chicago, IL 60611-4264
Phone (844) 559-1600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20160518000500 CO Practitioner - Physical Medicine and Rehabilitation 8426347204 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Medical College of Georgia School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gold Physical Medicine and Rehabilitation PCGroup PAC ID 9133479546, 27 clinicians

Practice addresses (Care Compare)

6500 W 104TH Ave
Westminster, CO 80020-4189
Phone (717) 731-9660

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Gold Physical Medicine and Rehabilitation PC Physical Medicine & Rehabilitation CurrentSince Mar 22, 2024 Accepting new patients

Locations

6500 W 104th Ave
Westminster, CO 80020
Phone (720) 573-5000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1309132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1942596168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 N MICHIGAN AVE STE 1200",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114264",
            "telephone_number": "844-559-1600",
            "fax_number": "224-236-4900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 S MONACO PKWY",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802241105",
            "telephone_number": "303-355-2525",
            "fax_number": "252-744-3924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "MEREDITH",
        "middle_name": "BLAIRE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-27",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "DR.0056210",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.