Individual provider Active NPI

Delwin Merchant, MD

  • Emergency Medicine Physician
  • Greenville, IL
National Provider Identifier
1023279643
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036.130675 Issued in IL
Practice address
200 Health Care Dr
Greenville, IL 62246-1154
Phone
(618) 664-1230
NPI assigned
Jun 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 282064 NY
Emergency Medicine Physician 207P00000X 2014035468 MO
Emergency Medicine Physician 207P00000X 036.130675 IL Primary

Addresses

Primary practice location

200 Health Care Dr
Greenville, IL 62246-1154

Mailing address

660 S Euclid Ave
C B 8072
Saint Louis, MO 63110-1010
Phone (314) 362-9123

Other practice location 1

400 S Kingshighway Blvd
Saint Louis, MO 63110
Phone (314) 362-9123

Other practice location 2

1000 Health Center Dr
Mattoon, IL 61938-4644
Phone (217) 258-2551

Other identifiers 1

IdentifierTypeStateIssuer
1023279643MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MO, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20120731000156 IL Practitioner - Emergency Medicine 3173789567 Reassigns benefits to 3 organizations
I20150416000840 MO Practitioner - Emergency Medicine 3173789567 Reassigns benefits to 3 organizations
I20161129001475 NY Practitioner - Emergency Medicine 3173789567 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cepamerica Illinois LLPGroup PAC ID 3274793633, 492 clinicians

Practice addresses (Care Compare)

301 Prospect Ave
Syracuse, NY 13203-1807
Phone (315) 448-5111

333 Madison St
Joliet, IL 60435-8200
Phone (815) 725-7133

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.41 of 100Reported as group
Quality
86.81
Improvement activities
40
Cost
77.34

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as apm
Quality
69.5
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.130675ILMDEmergency Medicine Physician
282064NYMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians of Memphis LLC Emergency Medicine CurrentSince Jan 5, 2023 Accepting new patients
Physicians Medical Associates New York PC Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Vituity - Illinois Auc LLP Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince May 1, 2015 Accepting new patients
Physicians Medical Associates New York PC Emergency Medicine CurrentSince Jan 1, 2024 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince May 1, 2015 Accepting new patients
Cep America - Illinois, LLP Emergency Medicine CurrentSince Jul 1, 2012 Accepting new patients
Cep America, LLC Emergency Medicine Current Accepting new patients
Potosi Emergency Group, LLC Emergency Medicine CurrentSince Aug 22, 2022 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine CurrentSince Jul 1, 2012 Accepting new patients
Vituity - Illinois Auc LLP Emergency Medicine Current Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Aug 13, 2023 Accepting new patients
Cepamerica Illinois LLP Emergency Medicine Current Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients

Locations

2100 Powell St
Ste 900
Emeryville, CA 94608
Phone (510) 350-2777

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

600 S Randall Rd
Algonquin, IL 60102
Phone (224) 783-4300

801 W Temple Ave
Effingham, IL 62401
Phone (217) 342-5800

1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437

200 Health Care Dr
Greenville, IL 62246
Phone (618) 664-0808

333 Madison St
Joliet, IL 60435
Phone (815) 725-7222

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

1 Saint Elizabeth Blvd
O Fallon, IL 62269
Phone 618234212012438

800 E Carpenter St
Springfield, IL 62769
Phone (217) 525-5643

1600 E Broadway
Columbia, MO 65201
Phone (573) 632-5000

1015 Bowles Ave
Fenton, MO 63026
Phone (636) 496-2000

1000 Carondelet Dr
Kansas City, MO 64114
Phone (816) 942-4400

2305 Georgia St
Louisiana, MO 63353
Phone (573) 754-4584

300 Health Way Dr
Potosi, MO 63664
Phone (573) 438-2977

10010 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 525-1328

301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 4

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": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1023279643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "660 S EUCLID AVE",
            "address_2": "C B 8072",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631101010",
            "telephone_number": "314-362-9123",
            "fax_number": "314-747-3338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HEALTH CARE DR",
            "city": "GREENVILLE",
            "state": "IL",
            "postal_code": "622461154",
            "telephone_number": "618-664-1230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 S Kingshighway Blvd",
            "address_purpose": "LOCATION",
            "city": "Saint Louis",
            "state": "MO",
            "postal_code": "63110",
            "country_code": "US",
            "telephone_number": "314-362-9123",
            "fax_number": "314-747-3338",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Health Center Dr",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619384644",
            "country_code": "US",
            "telephone_number": "217-258-2551",
            "fax_number": "217-258-2256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCHANT",
        "first_name": "DELWIN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "282064",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2014035468",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036.130675",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023279643",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, IL

Sources for this page

Verify at the official NPI Registry.