Individual provider Active NPI

Jose A Mercado-Francis, MD

  • General Practice Physician
  • St Clair Shores, MI
National Provider Identifier
1114973955
Registry record updated Jul 13, 2026
On this page

OIG exclusion record

The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:

  • Section 1128a(1) exclusion effective Feb 20, 2017.
  • Section 1128a(4) exclusion effective Jul 20, 2011.

Matched on NPI only. Confirm current status with the OIG exclusions search before relying on it.

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
4301078684 Issued in MI
Practice address
23420 Greater Mack Ave
St Clair Shores, MI 48080-3424
Phone
(586) 777-8801
Fax
(586) 777-9988
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 4301078684 MI Primary

Addresses

Primary practice location

23420 Greater Mack Ave
St Clair Shores, MI 48080-3424

Mailing address

4276 Havana Ave SW
Wyoming, MI 49509-4347
Phone (586) 777-8801

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)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
House Calls Physicians PLLC PastSince May 19, 2011 Accepting new patients
Home Visiting Doctors, PLLC PastSince Nov 5, 2008 Accepting new patients
Gentle Love Visiting Physicians Group LLC General Practice Past Accepting new patients
Physicians Residential Services, P.C. General Practice Past Accepting new patients

Organizations & group practices 4

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114973955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4276 HAVANA AVE SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495094347",
            "telephone_number": "586-777-8801",
            "fax_number": "586-777-9988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23420 GREATER MACK AVE",
            "city": "ST CLAIR SHORES",
            "state": "MI",
            "postal_code": "480803424",
            "telephone_number": "586-777-8801",
            "fax_number": "586-777-9988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO-FRANCIS",
        "first_name": "JOSE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301078684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Clair Shores, MI

Sources for this page

Verify at the official NPI Registry.