MERIDIAN DIRECT PRIMARY CARE – NPI #1104779065
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Health Care Provider Taxonomy Code for General Practice

MERIDIAN DIRECT PRIMARY CARE is a provider located in INDIANAPOLIS, IN. NPPES has assigned the NPI number 1104779065 to MERIDIAN DIRECT PRIMARY CARE on February 19, 2026. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MERIDIAN DIRECT PRIMARY CARE below.

NPI Profile for
MERIDIAN DIRECT PRIMARY CARE

NPI Number
1104779065
Enumeration Date

(about 4 months ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MERIDIAN DIRECT PRIMARY CARE
Primary location
3524 N MERIDIAN ST
INDIANAPOLIS, IN 46208-4486
Phone: (317) 925-0653 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ROBERT MEHL
PRESIDENT
Phone: (317) 493-7137
Updated
Certification Date
Feb 18, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.