Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mario Jc De Meireles, MD

Individual provider Internal Medicine Physician · NPI 1255335097

Mario Jc De Meireles, MD is an Internal Medicine in Dearborn, Michigan. Qualified in 1981, 45 years ago. Accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
45
Licensed in
MI
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

23874 Kean St
Dearborn, MI 48124-1851
Phone: (313) 359-0801
Fax: (313) 359-2674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Internal Medicine) Physician (primary) Taxonomy 207RG0300X · Licence 4301061758 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301061758 (MI)

Record details

NPI number1255335097
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2005
Last updated in NPPESMarch 31, 2020
Certification dateMarch 31, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Also practisesGERIATRIC MEDICINE
Medical schoolOTHER
Graduated 1981 (45 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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