Individual provider Active NPI

Robert M Merritt, M.D.

  • Otolaryngology Physician
  • Winter Haven, FL
National Provider Identifier
1528086717
Registry record updated Dec 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
ME81383 Issued in FL
Practice address
160 E Lake Howard Dr
Winter Haven, FL 33881-3155
Phone
(863) 299-1251
Fax
(863) 299-7666
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngic Allergy Physician 207YX0602X ME81383 FL
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X ME81383 FL
Otolaryngology Physician 207Y00000X ME81383 FL Primary

Addresses

Primary practice location

160 E Lake Howard Dr
Winter Haven, FL 33881-3155

Mailing address

15280 NW 79TH CT Ste 200
Miami Lakes, FL 33016-5873
Phone (305) 558-3724

Other identifiers 1

IdentifierTypeStateIssuer
260948700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmerritt@barranco.medentdirect.com Health Information Exchange (HIE)

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100419000026 FL Practitioner - Otolaryngology 0648307082 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Medical College of Georgia School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida ENT Associates IncGroup PAC ID 4587556923, 156 clinicians

Practice addresses (Care Compare)

160 E Lake Howard Dr
Winter Haven, FL 33881-3155
Phone (863) 299-1251

Hospital & facility affiliations

  • Winter Haven Hospital Hospital, Winter Haven, FL, CCN 100052
  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
  • Adventhealth Sebring Hospital, Sebring, FL, CCN 100109
  • Adventhealth Lake Wales Hospital, Lake Wales, FL, CCN 100099
  • Adventhealth Heart of Florida Hospital, Davenport, FL, CCN 100137

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision18
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME81383FLMDOtolaryngic Allergy Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Barranco Clinic, P.a. Otolaryngology CurrentSince Jul 16, 2001 Accepting new patients
Florida ENT Associates, Inc. Otolaryngology CurrentSince May 1, 2021 Accepting new patients

Locations

1920 Don Wickham Dr
Ste 215
Clermont, FL 34711
Phone (352) 394-8808

302 W Central Ave
Lake Wales, FL 33853
Phone (863) 421-4558

8181 NW 154th St
Ste 200
Miami Lakes, FL 33016
Phone (225) 298-3537

15280 NW 79th Ct
Ste 200
Miami Lakes, FL 33016

1397 Whisper Cir
Sebring, FL 33870
Phone (863) 382-4800

160 E Lake Howard Dr
Winter Haven, FL 33881
Phone (863) 299-1251

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: robert.merritt.1@18417.direct.athenahealth.com
  • Direct secure messaging: robertmerritt@sfa.allscriptsdirect.net

Organizations & group practices 2

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 5

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": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671408000000",
    "number": "1528086717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15280 NW 79TH CT STE 200",
            "city": "MIAMI LAKES",
            "state": "FL",
            "postal_code": "330165873",
            "telephone_number": "305-558-3724",
            "fax_number": "786-907-4485"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 E LAKE HOWARD DR",
            "city": "WINTER HAVEN",
            "state": "FL",
            "postal_code": "338813155",
            "telephone_number": "863-299-1251",
            "fax_number": "863-299-7666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "ROBERT",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2022-12-19",
        "certification_date": "2022-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0602X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngic Allergy",
            "state": "FL",
            "license": "ME81383",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "FL",
            "license": "ME81383",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "FL",
            "license": "ME81383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "260948700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmerritt@barranco.medentdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "160 E Lake Howard Dr",
            "city": "Winter Haven",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338813155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winter Haven, FL

Sources for this page

Verify at the official NPI Registry.