Individual provider Active NPI

Michael J Meuth, MD

  • Interventional Cardiology Physician
  • Fall River, MA
National Provider Identifier
1982608956
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
159159 Issued in MA
Practice address
1565 North Main Street
Suite 306
Fall River, MA 02720-2972
Phone
(508) 973-9500
Fax
(508) 973-0351
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X 159159 MA Primary

Addresses

Primary practice location

1565 North Main Street
Suite 306
Fall River, MA 02720-2972

Mailing address

200 Mill Road
Suite 180
Fairhaven, MA 02719-5252
Phone (508) 973-2000

Other identifiers 2

IdentifierTypeStateIssuer
MM29927MedicaidRI
110061258AMedicaidMA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmeuth6110@direct.southcoast.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040510000832 MA Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Pain Management 2466441910 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Interventional Pain Management
Education
Georgetown University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southcoast Physicians Group IncGroup PAC ID 0749171957, 875 clinicians

Practice addresses (Care Compare)

101 Page St
New Bedford, MA 02740-3464
Phone (508) 973-5919

1565 N Main St
Suite 306
Fall River, MA 02720-2972
Phone (508) 973-9500

363 Highland Ave
Fall River, MA 02720-3703
Phone (508) 973-5919

506 Prospect St
Fall River, MA 02720-5239
Phone (508) 973-7888

534 Prospect St
Fall River, MA 02720-5281
Phone (508) 973-7766

Hospital & facility affiliations

  • Southcoast Hospitals Group Hospital, Fall River, MA, CCN 220074

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Southcoast Hospitals Group, Inc Current Accepting new patients
Southcoast Hospitals Group, Inc CurrentSince Apr 26, 1999 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Southcoast Physicians Group, Inc. CurrentSince Jul 1, 2012 Accepting new patients
Southcoast Hospitals Group Inc CurrentSince Apr 26, 1999 Accepting new patients

Locations

200 Mill Rd
Ste 180
Fairhaven, MA 02719
Phone (508) 973-2000

534 Prospect St
Fall River, MA 02720
Phone (508) 679-7766

363 Highland Ave
Fall River, MA 02720
Phone (508) 679-7052

1565 N Main St
Fall River, MA 02720
Phone (508) 324-0328

1565 N Main St
Ste 306
Fall River, MA 02720
Phone (508) 675-0369

874 Purchase St
New Bedford, MA 02740
Phone (508) 992-6553

829 Main Rd
Westport, MA 02790
Phone (508) 636-3731

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1982608956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 MILL ROAD",
            "address_2": "SUITE 180",
            "city": "FAIRHAVEN",
            "state": "MA",
            "postal_code": "027195252",
            "telephone_number": "508-973-2000",
            "fax_number": "508-973-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 NORTH MAIN STREET",
            "address_2": "SUITE 306",
            "city": "FALL RIVER",
            "state": "MA",
            "postal_code": "027202972",
            "telephone_number": "508-973-9500",
            "fax_number": "508-973-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEUTH",
        "first_name": "MICHAEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MA",
            "license": "159159",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "MM29927",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110061258A",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmeuth6110@direct.southcoast.org",
            "affiliation": "N",
            "endpointDescription": "Southcoast Health Epic Direct Address",
            "address_1": "1565 North Main Street",
            "address_2": "Suite 306",
            "city": "Fall River",
            "state": "MA",
            "country_code": "US",
            "postal_code": "027202972",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fall River, MA

Sources for this page

Verify at the official NPI Registry.