Organization Active NPI

Merit Medical Care LLC

  • Primary Care Clinic/Center
  • Merritt Island, FL
National Provider Identifier
1265762819
Registry record updated Nov 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
MERIT MEDICAL CARE LLC
Practice address
45 McLeod St Ste 200
Merritt Island, FL 32953-3523
Phone
(321) 452-2016
NPI assigned
Jan 5, 2010
Last updated
Nov 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2024

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

Authorized official

Name
San Htut Thiha, M.D.NPI 1285678995
Title
Owner
Phone
(321) 452-2016

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)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

45 McLeod St Ste 200
Merritt Island, FL 32953-3523

Mailing address

45 McLeod St
Merritt Island, FL 32953-3523
Phone (321) 452-2016

Other practice location 1

1395 N Courtenay Pkwy Ste 200
Merritt Island, FL 32953-4475
Phone (321) 459-1333

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100525000480 FL Part B Supplier - Clinic/Group Practice 4284763566 Receives reassigned benefits from 2 practitioners
Practice locations: Merritt Island, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D2001935Merit Medical Care45 McLeod St, Merritt Island, FL 32953Certificate of waiverJan 4, 2028

National Provider Directory

National Provider Directory

Locations

45 McLeod St
Merritt Island, FL 32953
Phone (321) 452-2016

45 McLeod St
Ste 200
Merritt Island, FL 32953
Phone (321) 452-2016

925 N Courtenay Pkwy
Ste 12
Merritt Island, FL 32953
Phone (321) 452-2016

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1262649600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731024000000",
    "number": "1265762819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 MCLEOD ST",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533523",
            "telephone_number": "321-452-2016",
            "fax_number": "321-452-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 MCLEOD ST STE 200",
            "city": "MERRITT ISLAND",
            "state": "FL",
            "postal_code": "329533523",
            "telephone_number": "321-452-2016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1395 N Courtenay Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Merritt Island",
            "state": "FL",
            "postal_code": "329534475",
            "country_code": "US",
            "telephone_number": "321-459-1333",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERIT MEDICAL CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-05",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A",
        "authorized_official_last_name": "THIHA",
        "authorized_official_first_name": "SAN",
        "authorized_official_middle_name": "HTUT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "321-452-2016",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merritt Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.