Individual provider Active NPI

Samantha Jean Merck, M.D.

  • Pulmonary Disease Physician
  • Tulsa, OK
National Provider Identifier
1467890921
Registry record updated Jul 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
38724 Issued in OK
Practice address
6565 S Yale Ave Ste 812
Tulsa, OK 74136-8309
Phone
(184) 949-2889
Fax
(918) 494-9289
NPI assigned
Jun 6, 2013
Last updated
Jul 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X D0089449 MD
Pulmonary Disease Physician 207RP1001X 38724 OK Primary
Pulmonary Disease Physician 207RP1001X D0089449 MD

Addresses

Primary practice location

6565 S Yale Ave Ste 812
Tulsa, OK 74136-8309

Mailing address

6600 S Yale Ave Ste 1400
Tulsa, OK 74136-3331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, OK2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20200817003874 MD Practitioner - Pulmonary Disease 7719113489 Reassigns benefits to 1 organization
I20220330001484 OK Practitioner - Pulmonary Disease 7719113489 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0089449MDMDCritical Care Medicine (Internal Medicine) Physician
38724OKMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Clinic Inc CurrentSince Apr 1, 2022 Accepting new patients
Johns Hopkins University CurrentSince Jul 1, 2020 Accepting new patients
Johns Hopkins University Pulmonary Disease CurrentSince Jul 1, 2020 Accepting new patients
Johns Hopkins University Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

5601 Loch Raven Blvd
Baltimore, MD 21239
Phone (443) 444-4714

6600 S Yale Ave
Ste 1200
Tulsa, OK 74136
Phone (918) 488-6045

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

Organizations & group practices 5

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": "1370476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658102400000",
    "number": "1467890921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 S YALE AVE STE 1400",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741363331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6565 S YALE AVE STE 812",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741368309",
            "telephone_number": "184-949-2889",
            "fax_number": "918-494-9289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCK",
        "first_name": "SAMANTHA",
        "middle_name": "JEAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-06",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MD",
            "license": "D0089449",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "OK",
            "license": "38724",
            "primary": true
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "MD",
            "license": "D0089449",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.