Individual provider Active NPI

Susan Marie Merkle

  • Physician Assistant
  • Milton, MA
National Provider Identifier
1285757138
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1159 Issued in MA
Practice address
2 Reedsdale Rd
Total Health Care, Inc.
Milton, MA 02186-3324
Phone
(617) 698-0715
Fax
(617) 698-7559
NPI assigned
Apr 7, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1159 MA Primary

Addresses

Primary practice location

2 Reedsdale Rd
Total Health Care, Inc.
Milton, MA 02186-3324

Mailing address

2 Reedsdale Rd
Total Health Care, Inc.
Milton, MA 02186-3324
Phone (617) 698-0715

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070503000637 MA Practitioner - Physician Assistant 4486750643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Health Care, PCGroup PAC ID 7214975127, 2 clinicians

Practice addresses (Care Compare)

2 Reedsdale Rd
Milton, MA 02186-3324
Phone (617) 698-0715

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1159MAMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Personalized Preventive Medicine Inc Past Accepting new patients

Organizations & group practices 2

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": "1175904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285757138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 REEDSDALE RD",
            "address_2": "TOTAL HEALTH CARE, INC.",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863324",
            "telephone_number": "617-698-0715"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 REEDSDALE RD",
            "address_2": "TOTAL HEALTH CARE, INC.",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021863324",
            "telephone_number": "617-698-0715",
            "fax_number": "617-698-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKLE",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "1159",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milton, MA

Sources for this page

Verify at the official NPI Registry.