Individual provider Active NPI

Matthew Merriman, MD

  • Emergency Medicine Physician
  • Colorado Springs, CO
National Provider Identifier
1528485844
Registry record updated Sep 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
DR.0073100 Issued in CO
Practice address
2222 N Nevada Ave
Colorado Springs, CO 80907-6819
Phone
(855) 687-0618
NPI assigned
Mar 25, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X DR.0073100 CO Primary

Addresses

Primary practice location

2222 N Nevada Ave
Colorado Springs, CO 80907-6819

Mailing address

2222 N Nevada Ave
Colorado Springs, CO 80907-6819

Other practice location 1

1368 Old Mace Rd
Patrick SFB, FL 32925
Phone (321) 494-4006

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180915000024 CA Practitioner - Emergency Medicine 5496048910 Reassigns benefits to 2 organizations
I20240613003884 CO Practitioner - Emergency Medicine 5496048910 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A155174CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Usacs Observation Medicine Services of Colorado Inc. CurrentSince May 17, 2024 Accepting new patients
Northbay Healthcare Group Current Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Apr 30, 2024 Accepting new patients
Usacs Observation Medicine Services of Colorado Inc. Emergency Medicine CurrentSince May 17, 2024 Accepting new patients
Northbay Healthcare Group CurrentSince Dec 1, 2019 Accepting new patients
Solano Gateway Medical Group Inc Emergency Medicine CurrentSince Aug 1, 2018 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Apr 30, 2024 Accepting new patients
Usacs of Colorado, Inc Emergency Medicine Current Accepting new patients

Locations

1200 B Gale Wilson Blvd
Fairfield, CA 94533
Phone (707) 429-3600

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

101 Bodin Cir
Travis AFB, CA 94535
Phone (707) 423-3000

1000 Nut Tree Rd
Vacaville, CA 95687
Phone (707) 446-4000

11600 W 2nd Pl
Lakewood, CO 80228
Phone (720) 321-1010

7700 S Broadway
Littleton, CO 80122
Phone (303) 269-4786

Organizations & group practices 8

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": "1395705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1789430400000",
    "number": "1528485844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809076819",
            "telephone_number": "855-687-0618"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1368 Old Mace Rd",
            "address_purpose": "LOCATION",
            "city": "Patrick SFB",
            "state": "FL",
            "postal_code": "32925",
            "country_code": "US",
            "telephone_number": "321-494-4006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRIMAN",
        "first_name": "MATTHEW",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-25",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CO",
            "license": "DR.0073100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

Verify at the official NPI Registry.