Individual provider Active NPI

Ivan Merkelj, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Miami, FL
National Provider Identifier
1205950177
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
ME90023 Issued in FL
Practice address
5200 NE 2ND Ave
Miami, FL 33137-2706
Phone
(305) 795-8410
NPI assigned
Mar 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X ME90023 FL Primary

Addresses

Primary practice location

5200 NE 2ND Ave
Miami, FL 33137-2706

Mailing address

1482 Lantana CT
Weston, FL 33326-3606
Phone (954) 659-3129

Other identifiers 1

IdentifierTypeStateIssuer
U2966ZOtherFLPROVIDER ID #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040830000037 FL Practitioner - Internal MedicinePractitioner - Geriatric Medicine 3870568306 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Morselife Housing Corporation Geriatric Medicine CurrentSince Aug 11, 2013 Accepting new patients
Joseph L Morse Health Center, Inc. Geriatric Medicine CurrentSince Jan 18, 2013 Accepting new patients
Joseph L Morse Health Center, Inc. CurrentSince Jan 18, 2013 Accepting new patients

Locations

4847 David S Mack Dr
West Palm Beach, FL 33417
Phone (561) 209-6123

Interoperability endpoints

  • Direct secure messaging: ivan.merkelj@1069591214882820.direct.elationemr.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1174176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1205950177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1482 LANTANA CT",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333263606",
            "telephone_number": "954-659-3129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5200 NE 2ND AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331372706",
            "telephone_number": "305-795-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKELJ",
        "first_name": "IVAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "FL",
            "license": "ME90023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER ID #",
            "identifier": "U2966Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.