Jose Edgardo Merced, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

21815 Issued in LA

Practice address

433 La Neuville Rd
Youngsville, LA 70592-5212

Phone

(337) 769-3002

NPI assigned

Jul 10, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2018 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Jose E Merced MD LLC

  • Medical Specialty Clinic/Center
  • Youngsville, LA
  • NPI 1780879015
  NPD (past) Authorized official
• Department of Health and Hospitals

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Lafayette, LA
  • NPI 1023162096
  NPD (past)
• Louisiana Department of Health, Department of Health and Hospitals

  • Skilled Nursing Facility
  • New Orleans, LA
  • NPI 1730674557
  NPD (past)

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214524800000",
    "number": "1124052691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81023",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705981023",
            "telephone_number": "337-769-3002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 LA NEUVILLE RD",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705925212",
            "telephone_number": "337-769-3002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCED",
        "first_name": "JOSE",
        "middle_name": "EDGARDO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2008-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "21815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "21815",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1982491",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "04-02386",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Medi-Bill LLC
• Sarah Bellomy Medina
• Medxcel Occupational Medicine
• Jaimie Vincent Melancon, FNP-C
• Josie Melancon
• Julianne Mestayer
• Tanisha Daniele Middleton
• Tyler Bartholomew Miller, FNP-C
• Kaylan Elizabeth Mitchell
• Trelles Mitchell

• Internal Medicine Physician in Youngsville, LA
• Providers in Youngsville, LA by specialty
• Internal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.