Active NPI
Gloria V Mercado, M.D.
- General Practice Physician
- Fall River, MA
National Provider Identifier
1578628715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 51934
- Practice address
- 387 Quarry St
Suite 100
Fall River, MA 02723-1025 - Phone
- (508) 679-8111
- Fax
- (508) 674-5028
- NPI assigned
- Dec 27, 2006
- Last updated
- Jan 4, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 51934 | MA | Primary |
Addresses
Primary practice location
387 Quarry St
Suite 100
Fall River, MA 02723-1025
Mailing address
387 Quarry St
Suite 100
Fall River, MA 02723-1025
Phone (508) 679-8111
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 961245-01 | Other | MA | NETWORK HEALTH |
| 3003604 | Medicaid | MA | |
| 412269 | Other | RI | BC BS OF RI (BLUECHIP) |
| J05037 | Other | MA | BC BS OF MA |
| 44289 | Other | MA | CHILDREN'S MEDICAL SP |
| 0103124 | Other | MA | UNITEDHEALTHCARE |
| 0039507 | Other | MA | NEIGHBORHOOD HEALTH PLAN |
| 210126 | Other | RI | BC BS OF RI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
387 Quarry St
Suite 100
Fall River, MA 02723-1007
387 Quarry St
Suite 100
Fall River, MA 02723-1026
Phone (774) 627-1296
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthfirst Family Care Center Inc. | Current | Accepting new patients |
Locations
387 Quarry St
Ste 100
Fall River, MA 02723
Phone (508) 679-8111
Interoperability endpoints
- gmercado20166@direct.ctc.masshiway.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Fall River, MA
- NPI 1962435933
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fall River, MA
- NPI 1972330165
-
dba Nightingale Visiting Nurses
- Home Health Agency
- Taunton, MA
- NPI 1881923936
-
dba Tobey Hospital
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
-
- Home Health Agency
- Fairhaven, MA
- NPI 1104937697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357257600000",
"number": "1578628715",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "387 QUARRY ST",
"address_2": "SUITE 100",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027231025",
"telephone_number": "508-679-8111",
"fax_number": "508-674-5028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "387 QUARRY ST",
"address_2": "SUITE 100",
"city": "FALL RIVER",
"state": "MA",
"postal_code": "027231025",
"telephone_number": "508-679-8111",
"fax_number": "508-674-5028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "GLORIA",
"middle_name": "V",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-27",
"last_updated": "2013-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "MA",
"license": "51934",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NETWORK HEALTH",
"identifier": "961245-01",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3003604",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF RI (BLUECHIP)",
"identifier": "412269",
"state": "RI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF MA",
"identifier": "J05037",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHILDREN'S MEDICAL SP",
"identifier": "44289",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "0103124",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NEIGHBORHOOD HEALTH PLAN",
"identifier": "0039507",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC BS OF RI",
"identifier": "210126",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in Fall River, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.