Active NPI
Daniel Merck
- Family Medicine Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 5151013944
- Practice address
- 1000 E Paris Ave SE Ste 100
Grand Rapids, MI 49546-3680 - Phone
- (616) 459-3158
- NPI assigned
- May 31, 2019
- Sex
- Male
- 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 | 5151013944 | MI | Primary |
Addresses
Primary practice location
1000 E Paris Ave SE Ste 100
Grand Rapids, MI 49546-3680
Mailing address
1000 E Paris Ave SE Ste 100
Grand Rapids, MI 49546-3680
Phone (616) 459-3158
Other practice location 1
2093 Health Dr SW Ste 200
Wyoming, MI 49519-9691
Phone (616) 459-3158
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
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
382 N 120TH Ave
Holland, MI 49424-2169
Phone (616) 396-6516
Hospital & facility affiliations
- Holland Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5151013944 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lakewood Family Medicine PLC | Family Medicine | Current | Accepting new patients |
| Mercy Health Partners | Past | Accepting new patients |
Locations
382 N 120th Ave
Holland, MI 49424
Phone (616) 396-6516
Interoperability endpoints
- dmerck42794@direct.trinity-health.org
- danielmerck@lwfm.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Holland, MI
- NPI 1073609392
-
- Certified Registered Nurse Anesthetist
- Shelby, MI
- NPI 1154910172
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Holland, MI
- NPI 1871672618
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1164080669",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1000 E PARIS AVE SE STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463680",
"telephone_number": "616-459-3158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E PARIS AVE SE STE 100",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495463680",
"telephone_number": "616-459-3158"
}
],
"practiceLocations": [
{
"address_1": "2093 Health Dr SW Ste 200",
"address_purpose": "LOCATION",
"city": "Wyoming",
"state": "MI",
"postal_code": "495199691",
"country_code": "US",
"telephone_number": "616-459-3158",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERCK",
"first_name": "DANIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-31",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "5151013944",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; 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.