Individual provider Active NPI

Thomas J Merrill, DPM

  • Foot & Ankle Surgery Podiatrist
  • Miami, FL
National Provider Identifier
1497742530
Registry record updated Sep 28, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO1902 Issued in FL
Practice address
3659 S Miami Ave
Barry University Foot & Ankle Institute, Suite # 3008
Miami, FL 33133-4227
Phone
(305) 859-7777
Fax
(305) 859-7444
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X PO1902 FL Primary

Addresses

Primary practice location

3659 S Miami Ave
Barry University Foot & Ankle Institute, Suite # 3008
Miami, FL 33133-4227

Mailing address

893 NE 125TH St
North Miami, FL 33161-5711
Phone (305) 892-0818

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
I20110929000600 FL Practitioner - Podiatry 9436320124 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO1902FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Barry University Inc Foot & Ankle Surgery CurrentSince Dec 1, 1987 Accepting new patients
Barry University Inc Foot & Ankle Surgery CurrentSince Dec 1, 1987 Accepting new patients
Barry University Inc Foot & Ankle Surgery Current Accepting new patients

Locations

3659 S Miami Ave
Ste 3008
Miami, FL 33133
Phone (305) 859-7777

11300 NE 2nd Ave
Miami Shores, FL 33161
Phone (305) 899-3000

893 NE 125th St
North Miami, FL 33161
Phone (305) 893-9366

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443398400000",
    "number": "1497742530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "893 NE 125TH ST",
            "city": "NORTH MIAMI",
            "state": "FL",
            "postal_code": "331615711",
            "telephone_number": "305-892-0818",
            "fax_number": "305-892-2916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3659 S MIAMI AVE",
            "address_2": "BARRY UNIVERSITY FOOT & ANKLE INSTITUTE, SUITE # 3008",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334227",
            "telephone_number": "305-859-7777",
            "fax_number": "305-859-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "THOMAS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2015-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO1902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.