Individual provider Active NPI

Meredith A. Maxey, M.D.

  • Family Medicine Physician
  • Beloit, WI
National Provider Identifier
1962845941
Registry record updated Jul 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
189-320 Issued in WI
Practice address
Beloit Clinic
1905 E. Huebbe Parkway
Beloit, WI 53511-1842
Phone
(608) 364-2240
Fax
(608) 363-7374
NPI assigned
Apr 9, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036139875 IL
Family Medicine Physician 207Q00000X 036-139875 IL
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 189-320 WI Primary

Addresses

Primary practice location

Beloit Clinic
1905 E. Huebbe Parkway
Beloit, WI 53511-1842

Mailing address

Beloit Clinic
1905 E. Huebbe Parkway
Beloit, WI 53511-1842
Phone (608) 364-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 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
I20160919001117 IL Practitioner - Family Practice 2860798212 Reassigns benefits to 2 organizations
I20180906000185 WI Practitioner - Family Practice 2860798212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Cincinnati College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beloit Health System IncGroup PAC ID 8224947858, shared by 4 NPIs, 138 clinicians

Practice addresses (Care Compare)

1905 E Huebbe Pkwy
Beloit, WI 53511-1842
Phone (608) 364-2200

5605 E Rockton Rd
Roscoe, IL 61073-7641
Phone (815) 525-4930

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.93 of 100Reported as group
Quality
64.82
Promoting interoperability
100
Improvement activities
40
Cost
71.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
189WIMDMarriage & Family Therapist
036-139875ILMDFamily Medicine Physician
189-320WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Beloit Health System, Inc CurrentSince Aug 6, 2018 Accepting new patients
Beloit Health System Inc Family Medicine Current Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 29, 2016 Accepting new patients
Beloit Clinic, S.C. Family Medicine Current Accepting new patients
The Board of Trustees of the University of Illinois Current Accepting new patients
Beloit Health System, Inc CurrentSince Aug 6, 2018 Accepting new patients
The Board of Trustees of the University of Illinois CurrentSince Aug 29, 2016 Accepting new patients
Beloit Health System Inc Family Medicine CurrentSince Aug 6, 2018 Accepting new patients
Beloit Health System, Inc Family Medicine Past Accepting new patients

Locations

7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290

8131 S May St
Chicago, IL 60620
Phone (312) 365-5801

1220 S Wood St
Chicago, IL 60608
Phone (312) 413-1261

7732 Solutions Ctr
Chicago, IL 60677

55 W Cermak Rd
Chicago, IL 60616
Phone (312) 326-4472

5605 E Rockton Rd
Roscoe, IL 61073
Phone (815) 525-4000

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

1905 E Huebbe Pkwy
Beloit, WI 53511
Phone (608) 364-2293

1735 Madison Rd
Beloit, WI 53511
Phone (608) 363-7510

Organizations & group practices 11

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": "1365465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532995200000",
    "number": "1962845941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BELOIT CLINIC",
            "address_2": "1905 E. HUEBBE PARKWAY",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111842",
            "telephone_number": "608-364-2200",
            "fax_number": "608-363-7395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "BELOIT CLINIC",
            "address_2": "1905 E. HUEBBE PARKWAY",
            "city": "BELOIT",
            "state": "WI",
            "postal_code": "535111842",
            "telephone_number": "608-364-2240",
            "fax_number": "608-363-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAXEY",
        "first_name": "MEREDITH",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-09",
        "last_updated": "2018-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036139875",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-139875",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "189-320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beloit, WI

Sources for this page

Verify at the official NPI Registry.