NPIMap

Individual provider Active NPI

Nicolas Evan Merzlak, DO

  • Family Medicine Physician
  • Cranberry Township, PA
National Provider Identifier
1235751140
Registry record updated Sep 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
OS022853 Issued in PA
Practice address
20397 Route 19 Ste 330
Cranberry Township, PA 16066-6133
Phone
(724) 772-3300
Fax
(724) 772-3360
NPI assigned
May 13, 2020
Last updated
Sep 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X OS022853 PA Primary

Addresses

Primary practice location

20397 Route 19 Ste 330
Cranberry Township, PA 16066-6133

Mailing address

20397 Route 19 Ste 330
Cranberry Township, PA 16066-6133
Phone (724) 772-3300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230915002719 PA Practitioner - Family Practice 6305200841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Lake Erie College of Osteopathic Medicine, Erie, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Keystone Rehabilitation Systems IncGroup PAC ID 7012826753, shared by 15 NPIs, 750 clinicians
Allegheny ClinicGroup PAC ID 5395649586, 2,313 clinicians

Practice addresses (Care Compare)

203 High Pointe Dr
Suite 100
Seven Fields, PA 16046-7921
Phone (724) 742-1250

20397 Route 19
Cranberry Township, PA 16066-6133
Phone (724) 772-3300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic CurrentSince Aug 14, 2023 Accepting new patients
Allegheny Clinic Family Medicine Current Accepting new patients
Allegheny Clinic CurrentSince Aug 14, 2023 Accepting new patients

Locations

20397 Route 19
Cranberry Twp, PA 16066
Phone (724) 772-1881

20397 Route 19
Ste 330
Cranberry Twp, PA 16066
Phone (724) 772-3300

62 Greenbriar Dr
Ste 1
Leechburg, PA 15656
Phone (724) 845-7765

4 Allegheny Ctr
Fl 7
Pittsburgh, PA 15212

Interoperability endpoints

  • Direct secure messaging: nmerzlak306169@direct.ahn.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1589328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1235751140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20397 ROUTE 19 STE 330",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666133",
            "telephone_number": "724-772-3300",
            "fax_number": "724-772-3360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20397 ROUTE 19 STE 330",
            "city": "CRANBERRY TOWNSHIP",
            "state": "PA",
            "postal_code": "160666133",
            "telephone_number": "724-772-3300",
            "fax_number": "724-772-3360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERZLAK",
        "first_name": "NICOLAS",
        "middle_name": "EVAN",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-13",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS022853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cranberry Township, PA

Sources for this page

Verify at the official NPI Registry.