Active NPI
Michael Vander Meulen
- Emergency Medicine Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- C171391
- Practice address
- 75 Francis St
Boston, MA 02115-6110 - Phone
- (617) 732-8070
- NPI assigned
- Mar 20, 2011
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | Q3120 | TX | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Emergency Medicine Physician | 207P00000X | C171391 | CA | Primary |
Addresses
Primary practice location
75 Francis St
Boston, MA 02115-6110
Mailing address
424 Brookside Dr SE
Grand Rapids, MI 49507-3558
Phone (616) 648-7550
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 W California Blvd
Pasadena, CA 91105-3010
Phone 6264470296142
26777 Agoura Rd
Suite B4
Calabasas, CA 91302-2967
Phone (818) 880-2225
475 Foothill Blvd
Suite K
La Canada, CA 91011-3555
Phone (818) 528-6377
797 S Fair Oaks Ave
Suite 100
Pasadena, CA 91105-2617
Phone (626) 385-1455
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.41 of 100
- Quality
- 79.31
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C171391 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exer Medical Corporation | Current | Accepting new patients | |
| Valley Presbyterian Emergency Medical Associates | Emergency Medicine | Current | Accepting new patients |
| HMH Emergency Medical Group, Inc. | Emergency Medicine | Current | Accepting new patients |
| Grand Avenue Emergency Physicians Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Methodist Health Centers | Past | Accepting new patients | |
| Huntington Memorial Hospital | Past | Accepting new patients |
Locations
831 S State College Blvd
Anaheim, CA 92806
Phone (714) 533-2273
2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283
26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225
26777 Agoura Rd
Calabasas, CA 91302
Phone (818) 880-2225
235 E 17th St
Costa Mesa, CA 92627
Phone (949) 688-2010
2381 Rosecrans Ave
Ste 115
El Segundo, CA 90245
Phone (213) 335-7355
7000 Boulder Ave
Ste 103
Highland, CA 92346
Phone (515) 441-6271
100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445
25548 The Old Rd
Ste U1
Stevenson Ranch, CA 91381
Phone (661) 556-9020
701 N Wendy Dr
Thousand Oaks, CA 91320
Phone (805) 375-4400
15107 Vanowen St
Van Nuys, CA 91405
Phone (818) 782-6600
23341 Mulholland Dr
Woodland Hills, CA 91364
Phone (818) 637-0048
Interoperability endpoints
- mvandermeulen451944@direct.cshs.org
Organizations & group practices 6
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.
-
dba Exer Urgent Care
- Urgent Care Clinic/Center
- Calabasas, CA
- NPI 1588901532
-
- Emergency Medicine Physician
- Pasadena, CA
- NPI 1659383024
-
- Emergency Medicine Physician
- Bakersfield, CA
- NPI 1962913632
-
- Emergency Medicine Physician
- Van Nuys, CA
- NPI 1033133103
-
dba Huntington Memorial Hospital Pharmacy
- General Acute Care Hospital
- Pasadena, CA
- NPI 1467672667
-
dba Houston Methodist Cypress Hospital
- General Acute Care Hospital
- Cypress, TX
- NPI 1629828405
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Huntington Hospital
- General Acute Care Hospital
- Pasadena, CA
- NPI 1407828429
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300579200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704758400000",
"number": "1972802767",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "424 BROOKSIDE DR SE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495073558",
"telephone_number": "616-648-7550"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 FRANCIS ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021156110",
"telephone_number": "617-732-8070"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VANDER MEULEN",
"first_name": "MICHAEL",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2011-03-20",
"last_updated": "2024-01-09",
"certification_date": "2024-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "TX",
"license": "Q3120",
"primary": false
},
{
"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": "CA",
"license": "C171391",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.