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NPI Code Detail

MEDICARE: MERIDIAN DIRECT PRIMARY CARE

MEDICARE: MERIDIAN DIRECT PRIMARY CARE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208D00000XGeneral Practice Physician

General Provider Information

NPI Number : 1104779065
Entity Type Code : Organization
Provider Name (Legal Business Name) : MERIDIAN DIRECT PRIMARY CARE
Provider Business Mailing Address
First Line : 3524 N MERIDIAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46208-4486
Country : US
Telephone Number : 317-925-0653
Fax Number :
Provider Business Practice Location Address
First Line : 3524 N MERIDIAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46208-4486
Country : US
Telephone Number : 317-925-0653
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : ROBERT MEHL JR.
Credential : MD
Telephone Number : 317-493-7137
Provider Enumeration Date : 02/19/2026
Last Update Date : 02/19/2026

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Directions to “MERIDIAN DIRECT PRIMARY CARE ” Practice Location

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