Active NPI
Michael J Merig, MD
- Anatomic Pathology & Clinical Pathology Physician
- Schaumburg, IL
National Provider Identifier
1073595476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 4301073110
- Practice address
- 506 E State Parkway Quest Diagnostics
Schaumburg, IL 60173 - Phone
- (847) 755-5179
- Fax
- (842) 885-5532
- NPI assigned
- Nov 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 4301073110 | MI | Primary |
Addresses
Primary practice location
506 E State Parkway Quest Diagnostics
Schaumburg, IL 60173
Mailing address
506 E State Parkway Quest Diagnostics
Schaumburg, IL 60173
Phone (847) 755-5179
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4150820 | Medicaid | MI | |
| 32610300 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4301073110 | MI | MD | Anatomic Pathology & Clinical Pathology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658102400000",
"number": "1073595476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 E STATE PARKWAY QUEST DIAGNOSTICS",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "60173",
"telephone_number": "847-755-5179",
"fax_number": "842-885-5532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 E STATE PARKWAY QUEST DIAGNOSTICS",
"city": "SCHAUMBURG",
"state": "IL",
"postal_code": "60173",
"telephone_number": "847-755-5179",
"fax_number": "842-885-5532"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERIG",
"first_name": "MICHAEL",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-19",
"last_updated": "2022-07-18",
"certification_date": "2022-07-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "MI",
"license": "4301073110",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4150820",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32610300",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Schaumburg, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.