Individual provider Active NPI

Earl Dean Merkel, MD

  • Family Medicine Physician
  • Russell, KS
National Provider Identifier
1396728028
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-11253 Issued in KS
Practice address
222 S Kansas St
Ste E
Russell, KS 67665-3000
Phone
(785) 483-3333
Fax
(785) 483-4233
NPI assigned
Nov 28, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-11253 KS Primary
Surgery Physician 208600000X 04-11253 KS

Addresses

Primary practice location

222 S Kansas St
Ste E
Russell, KS 67665-3000

Mailing address

200 S Main St
Russell, KS 67665-2920
Phone (785) 483-3131

Other identifiers 5

IdentifierTypeStateIssuer
100085860EMedicaidKS
110498OtherKSBCBS GROUP
622440OtherKSST GUARD
103168OtherKSBCBS PERSONAL
100085860CMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050601000569 KS Practitioner - General PracticePractitioner - Family Practice 0244272185 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-11253KSMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Central Kansas Association, Inc CurrentSince Jun 15, 1998 Accepting new patients
Galichia Medical Group, P.a. Family Medicine Past Accepting new patients

Locations

200 S Main St
Russell, KS 67665
Phone (785) 483-2323

222 S Kansas St
Russell, KS 67665
Phone (785) 483-3333

222 S Kansas St
Ste E
Russell, KS 67665
Phone (785) 483-3333

200 S Main St
#B
Russell, KS 67665
Phone (785) 483-3333

222 S Kansas St
Ste B
Russell, KS 67665
Phone (785) 483-3333

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1396728028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S MAIN ST",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676652920",
            "telephone_number": "785-483-3131",
            "fax_number": "785-483-4859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 S KANSAS ST",
            "address_2": "STE E",
            "city": "RUSSELL",
            "state": "KS",
            "postal_code": "676653000",
            "telephone_number": "785-483-3333",
            "fax_number": "785-483-4233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERKEL",
        "first_name": "EARL",
        "middle_name": "DEAN",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-28",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-11253",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "04-11253",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100085860E",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP",
            "identifier": "110498",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ST GUARD",
            "identifier": "622440",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PERSONAL",
            "identifier": "103168",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100085860C",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Russell, KS

Sources for this page

Verify at the official NPI Registry.