Individual provider Active NPI

Nazim Merchant, M.D.

  • Pediatrics Physician
  • Orlando, FL
National Provider Identifier
1376504324
Registry record updated Jul 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME71136 Issued in FL
Practice address
14015 Egret Tower Dr
Orlando, FL 32837-6197
Phone
(407) 447-7100
Fax
(407) 447-6100
NPI assigned
Mar 30, 2006
Last updated
Jul 7, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME71136 FL Primary

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
251010300MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20240122000074 FL Practitioner - Pediatric Medicine 1951753474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Nazim Merchant MD, PA Pediatrics CurrentSince Dec 13, 2023 Accepting new patients
Nazim Merchant MD PA Pediatrics PastSince Aug 1, 2021 Accepting new patients

Locations

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

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

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": "1143676800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1309996800000",
    "number": "1376504324",
    "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": {
        "last_name": "MERCHANT",
        "first_name": "NAZIM",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-30",
        "last_updated": "2011-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME71136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "251010300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.