NPIMap

Individual provider Active NPI

Trevor Meaney

  • Family Medicine Physician
  • Mitchell, SD
National Provider Identifier
1982674537
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4894 Issued in SD
Practice address
2200 N Kimball St
Ste 400
Mitchell, SD 57301-1199
Phone
(605) 996-7900
Fax
(605) 996-7908
NPI assigned
Jan 25, 2006
Last updated
Sep 24, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4894 SD Primary

Addresses

Primary practice location

2200 N Kimball St
Ste 400
Mitchell, SD 57301-1199

Mailing address

2200 N Kimball St
Ste 400
Mitchell, SD 57301-1199

Other identifiers 1

IdentifierTypeStateIssuer
5610982MedicaidSD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051129000450 SD Practitioner - Family Practice 3173543634 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Sanford School of Medicine of University of South Dakota, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rural Health Care IncGroup PAC ID 3476447541, 156 clinicians

Practice addresses (Care Compare)

1900 Grassland Dr
Suite 103
Mitchell, SD 57301-6386
Phone (605) 995-7000

609 Garfield Ave
Murdo, SD 57559-4100
Phone (605) 669-2121

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Avera Queen of Peace Current Accepting new patients
Avera Queen of Peace CurrentSince Feb 10, 2010 Accepting new patients
Avera Queen of Peace CurrentSince Feb 10, 2010 Accepting new patients
Rural Health Care, Inc CurrentSince Nov 1, 2019 Accepting new patients
Rural Health Care, Inc. Current Accepting new patients
Rural Health Care, Inc CurrentSince Nov 1, 2019 Accepting new patients
Avera Queen of Peace Current Accepting new patients
Graham Ear, Nose & Throat P.C. Past Accepting new patients
Dakota Family Practice Past Accepting new patients
Platte Community Memorial Hospital Inc. Past Accepting new patients
Firesteel SNF Operations, LLC Past Accepting new patients

Locations

2200 N Kimball St
#400
Mitchell, SD 57301
Phone (605) 996-7900

2200 N Kimball St
#850
Mitchell, SD 57301
Phone (605) 996-1995

2200 N Kimball St
Ste 400
Mitchell, SD 57301
Phone (605) 995-2000

525 N Foster St
Mitchell, SD 57301
Phone (605) 995-2000

601 E 7th St
Ste 1
Platte, SD 57369
Phone (605) 337-2633

Interoperability endpoints

  • Direct secure messaging: trevor.meaney@avera.sdhealthlink.net

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1982674537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 N KIMBALL ST",
            "address_2": "STE 400",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 N KIMBALL ST",
            "address_2": "STE 400",
            "city": "MITCHELL",
            "state": "SD",
            "postal_code": "573011199",
            "telephone_number": "605-996-7900",
            "fax_number": "605-996-7908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEANEY",
        "first_name": "TREVOR",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SD",
            "license": "4894",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5610982",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mitchell, SD

Sources for this page

Verify at the official NPI Registry.