Active NPI
Mona Merritt, MD
- Family Medicine Physician
- Kalamazoo, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301070807
- Practice address
- 601 John St
Kalamazoo, MI 49007 - Phone
- (269) 341-6000
- NPI assigned
- May 17, 2006
- Last updated
- Jun 19, 2018
- Sex
- Female
- 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 |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4301070807 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bronson South Haven Hospital | Family Medicine | Current | Accepting new patients |
| Bronson South Haven Hospital | Current | Accepting new patients | |
| Molina Care Connections, LLC. | Current | Accepting new patients | |
| Promed Healthcare | Current | Accepting new patients | |
| Beacon Medical Group Michigan Inc | Family Medicine | Current | 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
- 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.
-
dba Muskegon Family Care
- Federally Qualified Health Center (FQHC)
- Muskegon, MI
- NPI 1255331583
-
- Family Medicine Physician
- Portage, MI
- NPI 1497709869
-
dba Bronson Medical Group
- Family Medicine Physician
- South Haven, MI
- NPI 1174749170
-
- General Acute Care Hospital
- South Haven, MI
- NPI 1346275856
-
dba Borgess Women's Health
- Rural Health Clinic/Center
- Plainwell, MI
- NPI 1487708830
-
- Family Medicine Physician
- Grand Rapids, MI
- NPI 1386695252
-
- Family Medicine Physician
- Grand Rapids, MI
- NPI 1306062237
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Mercy Health Muskegon
- General Acute Care Hospital
- Muskegon, MI
- NPI 1831132133
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2018; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.