Individual provider Active NPI

Richard Florian Mercado, D.P.M.

  • Primary Podiatric Medicine Podiatrist
  • Miami, FL
National Provider Identifier
1427038538
Registry record updated Jul 12, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
PO 2250 Issued in FL
Practice address
2597 SW 87TH Ave
Miami, FL 33165-2082
Phone
(305) 553-4341
Fax
(305) 553-2336
NPI assigned
Jan 17, 2006
Last updated
Jul 12, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Podiatric Medicine Podiatrist 213EP1101X PO 2250 FL Primary
Foot & Ankle Surgery Podiatrist 213ES0103X PO 2250 FL

Addresses

Primary practice location

2597 SW 87TH Ave
Miami, FL 33165-2082

Mailing address

2597 SW 87TH Ave
Miami, FL 33165-2082
Phone (305) 553-4341

Other identifiers 1

IdentifierTypeStateIssuer
390085100MedicaidFL

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080606000702 FL Practitioner - Podiatry 0345310033 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4900 W Oakland Park Blvd
Suite 107
Lauderdale Lakes, FL 33313-1555
Phone (954) 533-0099

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue76
Removal of nail tissue598
Removal or shaving of skin growth43

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO 2250FLMDPrimary Podiatric Medicine Podiatrist
2250FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Richard F Mercado DPM PA Foot & Ankle Surgery CurrentSince May 5, 2008 Accepting new patients

Locations

4900 W Oakland Park Blvd
Ste 107
Lauderdale Lakes, FL 33313
Phone (786) 401-6455

Interoperability endpoints

  • Direct secure messaging: richard.mercado.1@18870.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 3

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": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184198400000",
    "number": "1427038538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2597 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652082",
            "telephone_number": "305-553-4341",
            "fax_number": "305-553-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2597 SW 87TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331652082",
            "telephone_number": "305-553-4341",
            "fax_number": "305-553-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "RICHARD",
        "middle_name": "FLORIAN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-17",
        "last_updated": "2007-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "FL",
            "license": "PO 2250",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO 2250",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390085100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.