NPIMap

Individual provider Active NPI

Carlos Alberto Mercado, MD

  • Nephrology Physician
  • St George, UT
National Provider Identifier
1366444051
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
6787613-1205 Issued in UT
Practice address
624 S 1000 E Ste 103
St George, UT 84790-5902
Phone
(435) 652-1135
Fax
(435) 652-1190
NPI assigned
Aug 11, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 6787613-1205 UT Primary

Addresses

Primary practice location

624 S 1000 E Ste 103
St George, UT 84790-5902

Mailing address

624 S 1000 E Ste 103
St George, UT 84790-5902
Phone (435) 652-1135

Other practice location 1

1320 N Main St Ste 103
Cedar City, UT 84721-1230
Phone (435) 652-1135

Other identifiers 1

IdentifierTypeStateIssuer
1366444051MedicaidUT

Other names 1

  • Dr. Carlos Alberto Mercado Neira Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmercado34891@direct.acumenmd.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080709000085 UT Practitioner - NephrologyPractitioner - Internal Medicine 0143252791 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St George Kidney Care LLCGroup PAC ID 2567753460, 8 clinicians

Practice addresses (Care Compare)

624 S 1000
Suite 103
St George, UT 84790-5902
Phone (435) 652-1135

Hospital & facility affiliations

  • 462542 Liberty Dialysis - St George (FMC) Dialysis facility, Saint George, UT, CCN 462542
  • 462548-FMC-Cedar City Dialysis facility, Cedar City, UT, CCN 462548
  • FKC Sunset, Ut Dialysis facility, Santa Clara, UT, CCN 462562
  • St. George Regional Hospital Hospital, St George, UT, CCN 460021
  • Intermountain Health Cedar City Hospital Hospital, Cedar City, UT, CCN 460007
  • Mesa View Regional Hospital Hospital, Mesquite, NV, CCN 291307
  • Grover C Dils Medical Center Hospital, Caliente, NV, CCN 291312
  • Kane County Hospital Hospital, Kanab, UT, CCN 461309

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29846SCMDPediatric Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Apogee Medical Group South Carolina PastSince Oct 8, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: cmercado34891@direct.acumenmd.com
  • Direct secure messaging: carlos.mercado.1@16501.direct.athenahealth.com

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 and National Provider Directory roles.

Hospital & facility affiliations 10

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

NPI Registry JSON

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

{
    "created_epoch": "1123718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1366444051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 S 1000 E STE 103",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847905902",
            "telephone_number": "435-652-1135",
            "fax_number": "435-652-1190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "624 S 1000 E STE 103",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847905902",
            "telephone_number": "435-652-1135",
            "fax_number": "435-652-1190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1320 N Main St Ste 103",
            "address_purpose": "LOCATION",
            "city": "Cedar City",
            "state": "UT",
            "postal_code": "847211230",
            "country_code": "US",
            "telephone_number": "435-652-1135",
            "fax_number": "435-652-1190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "CARLOS",
        "middle_name": "ALBERTO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-11",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "UT",
            "license": "6787613-1205",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366444051",
            "state": "UT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmercado34891@direct.acumenmd.com",
            "affiliation": "N",
            "address_1": "624 S 1000 E Ste 103",
            "city": "St George",
            "state": "UT",
            "country_code": "US",
            "postal_code": "847905902",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARLOS",
            "last_name": "MERCADO NEIRA",
            "middle_name": "ALBERTO",
            "prefix": "DR.",
            "credential": "M.D",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.