Individual provider Active NPI

Mary Haven Merkle, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1164406732
Registry record updated Mar 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K0133 Issued in TX
Practice address
710 FM 1960 West
Houston, TX 77090-3402
Phone
(281) 440-2692
Fax
(281) 440-2653
NPI assigned
Dec 6, 2005
Last updated
Mar 5, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K0133 TX Primary
Hospitalist Physician 208M00000X K0133 TX

Addresses

Primary practice location

710 FM 1960 West
Houston, TX 77090-3402

Mailing address

4299 San Felipe
Suite 300
Houston, TX 77027-2916
Phone (832) 476-3900

Other identifiers 1

IdentifierTypeStateIssuer
100338601MedicaidTX

Other names 1

  • Mary Haven Stallings Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060908000374 TX Practitioner - Internal Medicine 3476557232 Reassigns benefits to 2 organizations
I20140415002297 TN Practitioner - Internal Medicine 3476557232 Reassigns benefits to 5 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Oct 15, 2017 Accepting new patients
Ipc Pac Healthcare Services of Tennessee PC Internal Medicine CurrentSince Aug 18, 2018 Accepting new patients
CS Pacs 3 Southeast, LLC Hospitalist CurrentSince Nov 18, 2024 Accepting new patients
BH Services Southeast 1 PC CurrentSince Jan 6, 2026 Accepting new patients
NV Pacs 2 LLC Hospitalist CurrentSince Aug 14, 2021 Accepting new patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Jan 1, 2016 Accepting new patients
Hospital Medicine Associates of TX PA Internal Medicine CurrentSince Jul 1, 2017 Accepting new patients
Jefferson City Operations, LLC Past Accepting new patients
Life Care Centers of America, Inc. Past Accepting new patients
Inpatient Medical Services, P.a. Internal Medicine Past Accepting new patients
Summit View of Lake City, LLC Past Accepting new patients
Houston Electrophysiology Associates Past Accepting new patients
Preferred Health Services of Tennessee, Inc. Past Accepting new patients
Ihnonpar, Inc. Hospitalist Past Accepting new patients
Sunbridge Regency - Tennessee, LLC Past Accepting new patients

Locations

18 N Cavalier Dr
Alamo, TN 38001
Phone (731) 696-4500

880 S Mohawk Dr
Erwin, TN 37650
Phone (423) 743-7669

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

2900 S Loop 256
Palestine, TX 75801
Phone (903) 731-1021

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Oneida Nursing & Rehab CenterOneida, TN, CCN 445254 Skilled nursing facility Managing Control - Governing Body
Adp of the SNF
Apr 1, 2023
Apr 1, 2023
Rocky Top Care CenterRocky Top, TN, CCN 445259 Skilled nursing facility Operational/Managerial Control
Adp of the SNF
Jun 1, 2024
Jun 1, 2024

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267747200000",
    "number": "1164406732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4299 SAN FELIPE",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770272916",
            "telephone_number": "832-476-3900",
            "fax_number": "832-476-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 FM 1960 WEST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903402",
            "telephone_number": "281-440-2692",
            "fax_number": "281-440-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKLE",
        "first_name": "MARY HAVEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-06",
        "last_updated": "2010-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K0133",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "K0133",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100338601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY HAVEN",
            "last_name": "STALLINGS",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.