Karl TQ Mersich, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

134072 Issued in FL

Practice address

2884 Wellness Ave Ste 100
Orange City, FL 32763-8397

Phone

(386) 668-2221

Fax

(386) 668-2228

NPI assigned

Sep 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Gastroenterology

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Gastro MD Florida, LLCGroup PAC ID 2264432558, 34 clinicians

Gastroenterology Associates of Southwest Florida LLCGroup PAC ID 8628960937, 62 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventhealth Fish Memorial Hospital, Orange City, FL, CCN 100072

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/BCJIBA

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.

• Gastro MD Florida, LLC

  • Gastroenterology Physician
  • Orange City, FL
  • NPI 1821167230
  Medicare reassignment Care Compare group NPD
• Gastroenterology Associates of Southwest Florida LLC

  • Internal Medicine Physician
  • Ft Myers, FL
  • NPI 1154304087
  Care Compare group
• Newark Wayne Community Hospital

  • General Acute Care Hospital
  • Newark, NY
  • NPI 1770671182
  NPD (past)

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

• Southwest Volusia Healthcare Corporation

  • General Acute Care Hospital
  • Orange City, FL
  • NPI 1700978558
  Care Compare affiliation
• Southwest Volusia Healthcare Corporation

  • Internal Medicine Physician
  • Orange City, FL
  • NPI 1902095078

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519344000000",
    "number": "1275633737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2884 WELLNESS AVE STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638397",
            "telephone_number": "386-668-2221",
            "fax_number": "386-668-2228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2884 WELLNESS AVE STE 100",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638397",
            "telephone_number": "386-668-2221",
            "fax_number": "386-668-2228"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1561 Long Pond Rd",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Rochester",
            "state": "NY",
            "postal_code": "14626",
            "country_code": "US",
            "telephone_number": "585-723-1510",
            "fax_number": "585-723-1518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERSICH",
        "first_name": "KARL",
        "middle_name": "TQ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-25",
        "last_updated": "2018-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NY",
            "license": "177994-1",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "134072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01252744",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ivans Melidor, DPT
• Sheryl J Melvin, APRN
• Ashly Yadira Mendoza
• Roberto Gauddah Menguito, M.D.
• Jennifer Wyle Merens Leake, APRN
• Milagros Mesa, L.M.T.
• Craig Brendan Messer, PHARMD.
• Metcare of Orange City
• Metcare RX Orange City Pharm SVC
• Michael P Desouza MD PA

• Gastroenterology Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Gastroenterology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2018; 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.
• 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.