Individual provider Active NPI

Christian Louis Menezes, DO

  • Hospitalist Physician
  • Dubuque, IA
National Provider Identifier
1992362396
Registry record updated Aug 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
DO-06031 Issued in IA
Practice address
1000 Langworthy St
Dubuque, IA 52001-7365
Phone
(635) 843-2265
Fax
(563) 584-3227
NPI assigned
May 22, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OT019094 PA
Hospitalist Physician 208M00000X DO-06031 IA Primary

Addresses

Primary practice location

1000 Langworthy St
Dubuque, IA 52001-7365

Mailing address

1000 Langworthy St
Dubuque, IA 52001-7365
Phone (635) 843-2265

Other practice location 1

1627 Chew St # 101
Allentown, PA 18102-3648
Phone (610) 969-4370

Other practice location 2

1200 S Cedar Crest Blvd
Allentown, PA 18103-6202
Phone (610) 969-4370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220811000199 IA Practitioner - Hospitalist 5496088056 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Lake Erie College of Osteopathic Medicine, Erie, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Medical Associates Clinic P CGroup PAC ID 3870491228, 228 clinicians

Practice addresses (Care Compare)

250 Mercy Dr
Dubuque, IA 52001-7320
Phone (563) 584-8000

Hospital & facility affiliations

  • Above and Beyond Home Health Home health agency, Monticello, IA, CCN 167299
  • Mercyone Dubuque Medical Center Hospital, Dubuque, IA, CCN 160069
  • Mercyone Dyersville Medical Center Hospital, Dyersville, IA, CCN 161378
  • Midwest Medical Center Hospital, Galena, IL, CCN 141302
  • Mercyone Elkader Medical Center Hospital, Elkader, IA, CCN 161319
  • Mercyone Dyersville Medical Center Nursing home, CCN 16Z378

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT019094PAMDInternal Medicine Physician
DO-06031IAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Guttenberg Municipal Hospital Current Accepting new patients
Medical Associates Clinic P C CurrentSince Aug 1, 2022 Accepting new patients
Guttenberg Municipal Hospital CurrentSince Aug 24, 2023 Accepting new patients
Guttenberg Municipal Hospital CurrentSince Aug 24, 2023 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Mercy Medical Center-Dubuque Past Accepting new patients

Locations

1500 Associates Dr
Dubuque, IA 52002
Phone (563) 584-4100

1000 Langworthy St
Dubuque, IA 52001
Phone (563) 584-3455

250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000

200 Main St
Guttenberg, IA 52052
Phone (563) 252-1121

Interoperability endpoints

  • Direct secure messaging: cmenezes993952@direct.unitypoint.org
  • Direct secure messaging: cmenezes3935040@direct.trinity-health.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.

Hospital & facility affiliations 7

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": "1558483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1992362396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 LANGWORTHY ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017365",
            "telephone_number": "635-843-2265",
            "fax_number": "563-584-3227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 LANGWORTHY ST",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520017365",
            "telephone_number": "635-843-2265",
            "fax_number": "563-584-3227"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1627 Chew St # 101",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181023648",
            "country_code": "US",
            "telephone_number": "610-969-4370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 S Cedar Crest Blvd",
            "address_purpose": "LOCATION",
            "city": "Allentown",
            "state": "PA",
            "postal_code": "181036202",
            "country_code": "US",
            "telephone_number": "610-969-4370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENEZES",
        "first_name": "CHRISTIAN",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-22",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT019094",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IA",
            "license": "DO-06031",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.