Individual provider Active NPI

Michael Paul Merren, MD

  • Anesthesiology Physician
  • Rochester, MN
National Provider Identifier
1568405934
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
66967 Issued in MN
Practice address
200 1St St SW
Rochester, MN 55905-0001
Phone
(507) 284-2511
NPI assigned
Jun 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 66967 MN Primary
General Practice Physician 208D00000X A157791 CA

Addresses

Primary practice location

200 1St St SW
Rochester, MN 55905-0001

Mailing address

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Other practice location 1

1009 W Green St
Hastings, MI 49058-1710
Phone (269) 945-3451

Other practice location 2

10538 Mission Gorge Rd Ste 100
Santee, CA 92071-3154
Phone (619) 456-0033

Other practice location 3

8590 Rio San Diego Dr Ste 111
San Diego, CA 92108-5597
Phone (619) 736-4600

Other practice location 4

8260 Mira Mesa Blvd Ste A
San Diego, CA 92126-2662
Phone (858) 900-3550

Other practice location 5

5671 Balboa Ave
San Diego, CA 92111-2705
Phone (858) 800-2880

Other practice location 6

760 Otay Lakes Rd
Chula Vista, CA 91910
Phone (619) 821-2300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmerren1215565@ehrdirect.mayoclinicmsg.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20200601000178 MN Practitioner - Anesthesiology 4880699446 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Michigan State University College of Human Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mayo ClinicGroup PAC ID 6507778255, 4,829 clinicians

Practice addresses (Care Compare)

200 1St St SW
Rochester, MN 55905-0001
Phone (507) 284-2511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66967MNMDAnesthesiology Physician
A157791CAMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mayo Clinic CurrentSince Jul 1, 2020 Accepting new patients
Mayo Clinic General Practice Current Accepting new patients
Mayo Clinic CurrentSince Jul 1, 2020 Accepting new patients
Spectrum Health Primary Care Partners Anesthesiology Past Accepting new patients
Jack Heethouse DO PLLC Past Accepting new patients
Michigan Medical Patient Care Past Accepting new patients
Michigan Medical Patient Care Past Accepting new patients
Wellstar Medical Group, LLC Past Accepting new patients
Hastings Emergency Physicians PLC Past Accepting new patients

Locations

200 1st St SW
Rochester, MN 55905
Phone (507) 266-4850

Interoperability endpoints

  • Direct secure messaging: mmerren1215565@ehrdirect.mayoclinicmsg.org

Organizations & group practices 9

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 1

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": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1568405934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 1ST ST SW",
            "city": "ROCHESTER",
            "state": "MN",
            "postal_code": "559050001",
            "telephone_number": "507-284-2511"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1009 W Green St",
            "address_purpose": "LOCATION",
            "city": "Hastings",
            "state": "MI",
            "postal_code": "490581710",
            "country_code": "US",
            "telephone_number": "269-945-3451",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10538 Mission Gorge Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Santee",
            "state": "CA",
            "postal_code": "920713154",
            "country_code": "US",
            "telephone_number": "619-456-0033",
            "fax_number": "619-456-0095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8590 Rio San Diego Dr Ste 111",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921085597",
            "country_code": "US",
            "telephone_number": "619-736-4600",
            "fax_number": "619-542-9796",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8260 Mira Mesa Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921262662",
            "country_code": "US",
            "telephone_number": "858-900-3550",
            "fax_number": "858-757-9177",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5671 Balboa Ave",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921112705",
            "country_code": "US",
            "telephone_number": "858-800-2880",
            "fax_number": "858-256-2727",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "760 Otay Lakes Rd",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "91910",
            "country_code": "US",
            "telephone_number": "619-821-2300",
            "fax_number": "619-821-2301",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERREN",
        "first_name": "MICHAEL",
        "middle_name": "PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MN",
            "license": "66967",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A157791",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmerren1215565@ehrdirect.mayoclinicmsg.org",
            "affiliation": "N",
            "address_1": "200 1st St SW",
            "city": "Rochester",
            "state": "MN",
            "country_code": "US",
            "postal_code": "559050001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, MN

Sources for this page

Verify at the official NPI Registry.