NPIMap

Organization Active NPI

Nazim Merchant MD, PA

Doing business as Merchant Pediatrics

  • Pediatrics Physician
  • Orlando, FL
National Provider Identifier
1366406183
Registry record updated Jul 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME71136 Issued in FL
Legal business name
NAZIM MERCHANT MD, PA
Doing business as
Merchant Pediatrics
Practice address
14015 Egret Tower Dr
Orlando, FL 32837-6197
Phone
(407) 447-7100
Fax
(407) 447-6100
NPI assigned
Apr 17, 2006
Last updated
Jul 29, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2016

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

Authorized official

Name
Soraya Roa, RNNPI 1356956064
Title
Practice Administrator
Phone
(407) 447-7100

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME71136 FL Primary
Pediatrics Physician 208000000X ME107095 FL
Pediatrics Physician 208000000X ME119702 FL
Pediatric Nurse Practitioner 363LP0200X ARNP9419919 FL

Addresses

Primary practice location

14015 Egret Tower Dr
Orlando, FL 32837-6197

Mailing address

14015 Egret Tower Dr
Orlando, FL 32837-6197
Phone (407) 447-7100

Other identifiers 1

IdentifierTypeStateIssuer
263731600MedicaidFL

Other names 1

  • Merchant Pediatrics Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240122000044 FL Part B Supplier - Clinic/Group Practice 0042662561 Receives reassigned benefits from 2 practitioners
Practice locations: Orlando, FL

National Provider Directory

National Provider Directory

Locations

1186 Cypress Glen Cir
Kissimmee, FL 34741
Phone (407) 846-7669

14015 Egret Tower Dr
Orlando, FL 32837
Phone (407) 447-7100

6900 Turkey Lake Rd
Ste 1-5
Orlando, FL 32819

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 10

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": "1145232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1469750400000",
    "number": "1366406183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14015 EGRET TOWER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376197",
            "telephone_number": "407-447-7100",
            "fax_number": "407-447-6100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14015 EGRET TOWER DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328376197",
            "telephone_number": "407-447-7100",
            "fax_number": "407-447-6100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAZIM MERCHANT MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-17",
        "last_updated": "2016-07-29",
        "status": "A",
        "authorized_official_last_name": "ROA",
        "authorized_official_first_name": "SORAYA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "407-447-7100",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME71136",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME107095",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME119702",
            "primary": false
        },
        {
            "code": "363LP0200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Pediatrics",
            "state": "FL",
            "license": "ARNP9419919",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "263731600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Merchant Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2016; 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.

Verify at the official NPI Registry.