Active NPI
Anthony P Merza MD P C
- Gastroenterology Physician
- Chicago, IL
National Provider Identifier
1265556054
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 060005186
- Legal business name
- ANTHONY P MERZA MD P C
- Practice address
- 5145 N California Ave
Chicago, IL 60625-3661 - Phone
- (773) 275-8811
- Fax
- (773) 282-2120
- NPI assigned
- Mar 18, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Anthony Pera Merza, M.D.
- Title
- President
- Phone
- (773) 275-8811
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 060005186 | IL | Primary |
Addresses
Primary practice location
5145 N California Ave
Chicago, IL 60625-3661
Mailing address
5145 N California Ave
Chicago, IL 60625-3661
Phone (773) 275-8811
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036067060 | Medicaid | IL | |
| 100004712 | Other | IL | RAIL ROAD MEDICARE |
| 0031603386 | Other | IL | BLUE CROSS BLUE SHIELD |
| K02230 | Other | IL | MEDICARE PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2900 N Lakeshore
Chicago, IL 60657
Phone (773) 665-3240
18440 Thompson Ct
Ste 203
Tinley Park, IL 60477
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Chicago, IL
- NPI 1780709337
-
- Specialist
- Chicago, IL
- NPI 1326117383
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1415145600000",
"number": "1265556054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5145 N CALIFORNIA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606253661",
"telephone_number": "773-275-8811",
"fax_number": "773-282-2120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5145 N CALIFORNIA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606253661",
"telephone_number": "773-275-8811",
"fax_number": "773-282-2120"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ANTHONY P MERZA MD P C",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-18",
"last_updated": "2014-11-05",
"status": "A",
"authorized_official_last_name": "MERZA",
"authorized_official_first_name": "ANTHONY",
"authorized_official_middle_name": "PERA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "773-275-8811",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "060005186",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036067060",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "100004712",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "0031603386",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PIN",
"identifier": "K02230",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.