Individual provider Active NPI

Haley Marie Merrill, M.D.

  • Orthopaedic Surgery Physician
  • Kansas City, MO
National Provider Identifier
1497070254
Registry record updated Jul 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
0101258110 Issued in VA
Practice address
2411 Holmes St
M2-302, Umkc School of Medicine Residency Program
Kansas City, MO 64108-2741
Phone
(816) 471-2072
Fax
(816) 404-0003
NPI assigned
Apr 5, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 0101258110 VA Primary

Addresses

Primary practice location

2411 Holmes St
M2-302, Umkc School of Medicine Residency Program
Kansas City, MO 64108-2741

Mailing address

2922 Telestar CT
Falls Church, VA 22042-1206
Phone (703) 584-2040

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20190610001126 SC Practitioner - Orthopedic Surgery 9739494865 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Medical University of South Carolina College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tri-County Surgical Specialists LLCGroup PAC ID 1658540505, 31 clinicians

Practice addresses (Care Compare)

295 Midland Pkwy
Summerville, SC 29485-8104
Phone (843) 832-5000

9291 Medical Plaza Dr
Charleston, SC 29406-9126
Phone (843) 764-1730

9313 Medical Plaza Dr
Suite 204
Charleston, SC 29406-9176
Phone (843) 797-5151

9330 Medical Plaza Dr
Charleston, SC 29406-9104
Phone (843) 847-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101258110VAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-County Surgical Specialists LLC CurrentSince May 9, 2019 Accepting new patients

Locations

9313 Medical Plaza Dr
Ste 204
North Charleston, SC 29406
Phone (843) 797-3555

9291 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 764-1730

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: haley.merrill@hca5.eclinicaldirectplus.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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437264000000",
    "number": "1497070254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2922 TELESTAR CT",
            "city": "FALLS CHURCH",
            "state": "VA",
            "postal_code": "220421206",
            "telephone_number": "703-584-2040",
            "fax_number": "703-553-8647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2411 HOLMES ST",
            "address_2": "M2-302, UMKC SCHOOL OF MEDICINE RESIDENCY PROGRAM",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641082741",
            "telephone_number": "816-471-2072",
            "fax_number": "816-404-0003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "HALEY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2015-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "VA",
            "license": "0101258110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

Verify at the official NPI Registry.