Active NPI
Thomas J Merrill, DPM
- Foot & Ankle Surgery Podiatrist
- Miami, FL
National Provider Identifier
1497742530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- PO1902
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO1902 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Barry University Inc | Foot & Ankle Surgery | Current | Accepting new patients |
| Barry University Inc | Foot & Ankle Surgery | Current | 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.
-
- Foot & Ankle Surgery Podiatrist
- North Miami Beach, FL
- NPI 1295959625
-
- Foot & Ankle Surgery Podiatrist
- Miami Beach, FL
- NPI 1255631552
-
- Foot & Ankle Surgery Podiatrist
- Miami, FL
- NPI 1821216615
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.