Individual provider Active NPI

Nathan Henry Merritt, MD

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1396942801
Registry record updated Jul 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
P6464 Issued in TX
Practice address
14850 Quorum Dr
Dallas, TX 75254-7566
Phone
(972) 694-7888
NPI assigned
Jun 28, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X P6464 TX Primary

Addresses

Primary practice location

14850 Quorum Dr
Dallas, TX 75254-7566

Mailing address

108 San Jacinto CT
Southlake, TX 76092-5946
Phone (651) 442-1207

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20130806000404 TX Practitioner - AnesthesiologyPractitioner - Pain Management 0840477253 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pain Management
Education
Loma Linda University School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valiant Anesthesia Associates, PLLCGroup PAC ID 5092956243, 60 clinicians

Practice addresses (Care Compare)

14850 Quorum Dr
Suite 400
Dallas, TX 75254-1445
Phone (469) 437-3564

Hospital & facility affiliations

  • Baylor Medical Center at Trophy Club Hospital, Trophy Club, TX, CCN 450883
  • Methodist Southlake Medical Center Hospital, Southlake, TX, CCN 670132

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia, PA Anesthesiology CurrentSince Nov 25, 2015 Accepting new patients
Valiant Anesthesia Associates, PLLC Anesthesiology CurrentSince Jan 1, 2018 Accepting new patients
Midwest Anesthesia Consultants SC Anesthesiology Past Accepting new patients

Locations

14850 Quorum Dr
Ste 400
Dallas, TX 75254
Phone (214) 801-1879

14850 Quorum Dr
Dallas, TX 75254
Phone (972) 694-7888

4401 Coit Rd
Ste 100
Frisco, TX 75035
Phone (214) 619-0120

909 9th Ave
Ft Worth, TX 76104
Phone (817) 336-6060

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

6200 W Parker Rd
Plano, TX 75093
Phone (972) 608-8000

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.

Hospital & facility affiliations 2

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": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1396942801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 SAN JACINTO CT",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760925946",
            "telephone_number": "651-442-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14850 QUORUM DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752547566",
            "telephone_number": "972-694-7888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "NATHAN",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-28",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "P6464",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.