NPIMap

Individual provider Active NPI

Andrew Joseph Merrill

  • Family Medicine Physician
  • Cincinnati, OH
National Provider Identifier
1497334213
Registry record updated May 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34.017003 Issued in OH
Practice address
4101 Edwards Rd FL 2
Cincinnati, OH 45209-1678
Phone
(513) 981-4646
Fax
(513) 979-2830
NPI assigned
Apr 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 29, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X OH
Family Medicine Physician 207Q00000X 34.017003 OH Primary

Addresses

Primary practice location

4101 Edwards Rd FL 2
Cincinnati, OH 45209-1678

Mailing address

4101 Edwards Rd FL 2
Cincinnati, OH 45209-1678
Phone (513) 981-4646

Other practice location 1

730 W Market St
Lima, OH 45801-4602
Phone (419) 226-9403

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240717003394 OH Practitioner - Family Practice 2264833730 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Pikeville, Kentucky College of Osteopathic Med, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Health Physicians Cincinnati LLCGroup PAC ID 6709790892, 191 clinicians

Practice addresses (Care Compare)

4101 Edwards Rd
FL 2
Cincinnati, OH 45209-1678
Phone (513) 985-0741

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34.017003OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Health Physicians Cincinnati LLC CurrentSince Jul 28, 2024 Accepting new patients
Mercy Health Physicians Cincinnati, LLC Family Medicine CurrentSince Jul 28, 2024 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

4101 Edwards Rd
Fl 2
Cincinnati, OH 45209
Phone (513) 981-4646

2446 Kipling Ave
Cincinnati, OH 45239
Phone (513) 583-8500

4750 E Galbraith Rd
Ste 210
Cincinnati, OH 45236
Phone (513) 215-8825

Interoperability endpoints

  • Direct secure messaging: amerrill862368@direct.bsmhealth.org

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 4

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": "1617753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1497334213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4101 EDWARDS RD FL 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091678",
            "telephone_number": "513-981-4646",
            "fax_number": "513-979-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4101 EDWARDS RD FL 2",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452091678",
            "telephone_number": "513-981-4646",
            "fax_number": "513-979-2830"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "730 W Market St",
            "address_purpose": "LOCATION",
            "city": "Lima",
            "state": "OH",
            "postal_code": "458014602",
            "country_code": "US",
            "telephone_number": "419-226-9403",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-04-07",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "34.017003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.