Active NPI
Daniel Merrill, DO
- Pediatrics Physician
- Madera, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 20A22063
- Practice address
- 9300 Valley Childrens PL # SC05
Madera, CA 93636-8761 - Phone
- (559) 353-3000
- NPI assigned
- Apr 1, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 94-10001 | KS | |
| Internal Medicine Physician | 207R00000X | 2019021760 | MO | |
| Pediatrics Physician | 208000000X | 2019021760 | MO | |
| Pediatrics Physician | 208000000X | 94-10001 | KS | |
| Hospitalist Physician | 208M00000X | 010652 | AZ | |
| Pediatrics Physician | 208000000X | 20A22063 | CA | Primary |
Addresses
Primary practice location
9300 Valley Childrens PL # SC05
Madera, CA 93636-8761
Mailing address
9300 Valley Childrens PL # SC05
Madera, CA 93636-8761
Phone (559) 353-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 N Beaver St
Flagstaff, AZ 86001-3118
Phone (928) 779-3366
1215 N Beaver St
Suite 203
Flagstaff, AZ 86001-3126
Phone (928) 773-2249
2000 S Thompson St
Flagstaff, AZ 86001-8759
Phone (928) 226-6400
269 S Candy LN
Cottonwood, AZ 86326-4158
Phone (928) 639-6000
7810 N US Hwy 89
Flagstaff, AZ 86004-6255
Phone (928) 522-8375
Hospital & facility affiliations
- Flagstaff Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 82.13 of 100
- Quality
- 66.85
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.4
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 94-10001 | KS | MD | Internal Medicine Physician |
| 20A22063 | CA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northern Arizona Healthcare Corporation | Internal Medicine | Current | Accepting new patients |
| Northern Arizona Healthcare Corporation | Current | Accepting new patients | |
| Phoenix Children'S Hospital | Pediatrics | Current | Accepting new patients |
| Phoenix Children'S Medical Group | Current | Accepting new patients | |
| Flagstaff Medical Center | Past | Accepting new patients |
Locations
1665 N Avondale Blvd
Avondale, AZ 85392
Phone (602) 933-0005
269 S Candy Ln
Cottonwood, AZ 86326
Phone (928) 634-2251
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
1215 N Beaver St
Ste 203
Flagstaff, AZ 86001
Phone (928) 773-2249
19007 N 67th Ave
Glendale, AZ 85308
Phone (602) 933-0777
20325 N 51st Ave
Ste 116
Glendale, AZ 85308
Phone (602) 933-1010
5131 E Southern Ave
Mesa, AZ 85206
Phone (480) 833-5437
9319 E Cadence Pkwy
Mesa, AZ 85212
Phone (602) 933-3400
2108 E Thomas Rd
Ste 130
Phoenix, AZ 85016
1919 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 933-0777
6990 E Shea Blvd
Ste 104
Scottsdale, AZ 85254
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 and National Provider Directory roles.
-
- Family Medicine Physician
- Flagstaff, AZ
- NPI 1669914552
Internal Medicine
-
- Pediatrics Physician
- Phoenix, AZ
- NPI 1922112044
-
- Multi-Specialty Clinic/Center
- Flagstaff, AZ
- NPI 1235732702
-
- Multi-Specialty Clinic/Center
- Mesa, AZ
- NPI 1487814240
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Flagstaff, AZ
- NPI 1649370875
-
- General Acute Care Hospital
- Flagstaff, AZ
- NPI 1780635078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1467914291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9300 VALLEY CHILDRENS PL # SC05",
"city": "MADERA",
"state": "CA",
"postal_code": "936368761",
"telephone_number": "559-353-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9300 VALLEY CHILDRENS PL # SC05",
"city": "MADERA",
"state": "CA",
"postal_code": "936368761",
"telephone_number": "559-353-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERRILL",
"first_name": "DANIEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-01",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "94-10001",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2019021760",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MO",
"license": "2019021760",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "KS",
"license": "94-10001",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "AZ",
"license": "010652",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "20A22063",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madera, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.