Individual provider Active NPI

Marnin A Merrick, MD

  • Hematology & Oncology Physician
  • New Orleans, LA
National Provider Identifier
1114132818
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD.202844 Issued in LA
Practice address
1430 Tulane Ave
SL-68
New Orleans, LA 70112-2632
Phone
(504) 988-6060
Fax
(504) 988-6077
NPI assigned
May 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 41160 KY
Hematology & Oncology Physician 207RH0003X MD.202844 LA Primary
Radiation Oncology Physician 2085R0001X MD.202844 LA
Radiation Oncology Physician 2085R0001X 13495 ND

Addresses

Primary practice location

1430 Tulane Ave
SL-68
New Orleans, LA 70112-2632

Mailing address

5107 Citrus Blvd
Suite 309
New Orleans, LA 70123-7148
Phone (606) 213-0275

Other practice location 1

831 S Broadway
Minot, ND 58701-4636
Phone (701) 418-8000

Other practice location 2

2305 37th Ave SW
Minot, ND 58701-7669
Phone (701) 418-8000

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other Cobius Healthcare Solutions

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ND, KY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150203000834 ND Practitioner - Radiation Oncology 4183719503 Reassigns benefits to 1 organization
I20230612001847 KY Practitioner - Radiation Oncology 4183719503 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
676641NYMDRegistered Nurse
41160KYMDRadiation Oncology Physician
MD.202844LAMDRadiation Oncology Physician
13495NDMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bismarck Cancer Center Radiation Oncology CurrentSince Mar 27, 2017 Accepting new patients
Baptist Health Medical Group Inc Hematology & Oncology CurrentSince Jun 5, 2023 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Jun 5, 2023 Accepting new patients
Trinity Health CurrentSince May 20, 2024 Accepting new patients

Locations

2720 Dundee Rd
Northbrook, IL 60062
Phone (224) 226-5222

3900 Kresge Way
Ste 41
Louisville, KY 40207
Phone (502) 896-1313

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

4003 Kresge Way
Ste 115
Louisville, KY 40207
Phone (502) 897-8163

500 N 8th St
Bismarck, ND 58501
Phone (701) 222-6100

2305 37th Ave SW
Minot, ND 58701
Phone (701) 418-8550

831 S Broadway
Minot, ND 58701
Phone (701) 857-3534

101 3rd Ave SW
Minot, ND 58701
Phone (701) 857-5286

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1114132818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5107 CITRUS BLVD",
            "address_2": "SUITE 309",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701237148",
            "telephone_number": "606-213-0275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 TULANE AVE",
            "address_2": "SL-68",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701122632",
            "telephone_number": "504-988-6060",
            "fax_number": "504-988-6077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "831 S Broadway",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587014636",
            "country_code": "US",
            "telephone_number": "701-418-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2305 37th Ave SW",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587017669",
            "country_code": "US",
            "telephone_number": "701-418-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRICK",
        "first_name": "MARNIN",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-14",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KY",
            "license": "41160",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "LA",
            "license": "MD.202844",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "LA",
            "license": "MD.202844",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "ND",
            "license": "13495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://cobiusconnect.cobius.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.1068.1",
            "affiliationName": "Cobius Healthcare Solutions",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "2720 Dundee Rd # 302",
            "city": "Northbrook",
            "state": "IL",
            "country_code": "US",
            "postal_code": "600622609",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Orleans, LA

Sources for this page

Verify at the official NPI Registry.