Individual provider Active NPI

Mona Merritt, MD

  • Family Medicine Physician
  • Kalamazoo, MI
National Provider Identifier
1144272816
Registry record updated Jun 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301070807 Issued in MI
Practice address
601 John St
Kalamazoo, MI 49007
Phone
(269) 341-6000
NPI assigned
May 17, 2006
Last updated
Jun 19, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301070807 MI Primary

Addresses

Primary practice location

601 John St
Kalamazoo, MI 49007

Mailing address

100 Michigan St NE # Mc845
Grand Rapids, MI 49503-2560

Other practice location 1

965 S Bailey Ave Ste 2-2
South Haven, MI 49090-6743
Phone (269) 639-2772

Other practice location 2

80 68th St SE
Suite 202
Grand Rapids, MI 49548-6980
Phone (616) 267-0759

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060915000109 MI Practitioner - Family Practice 0749285237 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Ohio, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MGH Family Health CenterGroup PAC ID 2860384831, 24 clinicians

Practice addresses (Care Compare)

2201 S Getty St
Muskegon, MI 49444-1207
Phone (231) 739-9315

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301070807MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bronson South Haven Hospital Family Medicine CurrentSince Mar 5, 2018 Accepting new patients
Bronson South Haven Hospital CurrentSince Mar 5, 2018 Accepting new patients
Molina Care Connections, LLC. CurrentSince Mar 21, 2018 Accepting new patients
Promed Healthcare CurrentSince Jun 28, 2020 Accepting new patients
Beacon Medical Group Michigan Inc Family Medicine CurrentSince Jun 28, 2020 Accepting new patients
Grand Valley Family Health Center Family Medicine Past Accepting new patients
Advantage Health Physicians PC Family Medicine Past Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

7901 Angling Rd
Portage, MI 49024
Phone (269) 324-8405

950 S Bailey Ave
South Haven, MI 49090
Phone (269) 639-2796

965 S Bailey Ave
Ste 22
South Haven, MI 49090
Phone (269) 344-0202

1241 W Broadway St
Three Rivers, MI 49093
Phone (269) 273-9539

880 W Long Lake Rd
Troy, MI 48098
Phone (248) 227-6316

Interoperability endpoints

  • Direct secure messaging: mmerritt4251949@direct.trinity-health.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529366400000",
    "number": "1144272816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 MICHIGAN ST NE # MC845",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "49007",
            "telephone_number": "269-341-6000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "965 S Bailey Ave Ste 2-2",
            "address_purpose": "LOCATION",
            "city": "South Haven",
            "state": "MI",
            "postal_code": "490906743",
            "country_code": "US",
            "telephone_number": "269-639-2772",
            "fax_number": "269-639-2770",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 68th St SE",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495486980",
            "country_code": "US",
            "telephone_number": "616-267-0759",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "MONA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-17",
        "last_updated": "2018-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301070807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalamazoo, MI

Sources for this page

Verify at the official NPI Registry.