Individual provider Active NPI

Francis Amado Dizon Mercado, M.D.

  • Internal Medicine Physician
  • Gig Harbor, WA
National Provider Identifier
1225223878
Registry record updated May 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD00049123 Issued in WA
Practice address
6401 Kimball Dr
Gig Harbor, WA 98335-1228
Phone
(253) 858-9192
NPI assigned
Sep 6, 2007
Last updated
May 10, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD00049123 WA Primary

Addresses

Primary practice location

6401 Kimball Dr
Gig Harbor, WA 98335-1228

Mailing address

6401 Kimball Dr
Gig Harbor, WA 98335-1228
Phone (253) 858-9192

Other identifiers 3

IdentifierTypeStateIssuer
8513632MedicaidWA
8948949OtherWACRIME VICTIMS
0236730OtherWAL&I

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20080827000473 WA Practitioner - Internal Medicine 3577639590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Franciscan Medical GroupGroup PAC ID 0547173866, 1,400 clinicians

Practice addresses (Care Compare)

2930 S Meridian
Suite 200
Puyallup, WA 98373-1654
Phone (253) 864-5900

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00049123WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Franciscan Medical Group Current Accepting new patients
Franciscan Medical Group Internal Medicine CurrentSince Mar 15, 2013 Accepting new patients
Franciscan Medical Group Internal Medicine CurrentSince Mar 15, 2013 Accepting new patients
Franciscan Medical Group Past Accepting new patients

Locations

21 NE Romance Hill Rd
Ste 105
Belfair, WA 98528
Phone (360) 277-2950

6401 Kimball Dr
Gig Harbor, WA 98335
Phone (253) 502-5965

2930 S Meridian
Ste 200
Puyallup, WA 98373
Phone (253) 445-7600

1812 S J St
Ste 120
Tacoma, WA 98405
Phone (253) 428-2200

7210 40th St W
Ste 100
University Place, WA 98466
Phone (253) 564-0170

Interoperability endpoints

  • Direct secure messaging: fmercado6979@fhsce.catholichealth.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1189036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273449600000",
    "number": "1225223878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6401 KIMBALL DR",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351228",
            "telephone_number": "253-858-9192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6401 KIMBALL DR",
            "city": "GIG HARBOR",
            "state": "WA",
            "postal_code": "983351228",
            "telephone_number": "253-858-9192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "FRANCIS AMADO",
        "middle_name": "DIZON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-06",
        "last_updated": "2010-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD00049123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8513632",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8948949",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "L&I",
            "identifier": "0236730",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gig Harbor, WA

Sources for this page

Verify at the official NPI Registry.