Active NPI
Ivan Merkelj, MD
- Geriatric Medicine (Internal Medicine) Physician
- Miami, FL
National Provider Identifier
1205950177
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Medicine (Internal Medicine) Physician
- License
- ME90023
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| U2966Z | Other | FL | PROVIDER 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Morselife Housing Corporation | Geriatric Medicine | Current | Accepting new patients |
| Joseph L Morse Health Center, Inc. | Geriatric Medicine | Current | Accepting new patients |
| Joseph L Morse Health Center, Inc. | Current | Accepting new patients |
Locations
4847 David S Mack Dr
West Palm Beach, FL 33417
Phone (561) 209-6123
Interoperability endpoints
- 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.
-
- Geriatric Medicine (Internal Medicine) Physician
- West Palm Beach, FL
- NPI 1740333244
-
- Geriatric Medicine (Internal Medicine) Physician
- West Palm Beach, FL
- NPI 1558319756
-
- Skilled Nursing Facility
- West Palm Beach, FL
- NPI 1386796217
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.