Active NPI
David Charles Merz, MD, PHD
- Infectious Disease Physician
- Portland, OR
National Provider Identifier
1598725640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Infectious Disease Physician
- License
- MD205805
- Practice address
- 10201 SE Main St Ste 29
Portland, OR 97216-2937 - Phone
- (503) 261-6028
- Fax
- (503) 261-6725
- NPI assigned
- Mar 24, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Infectious Disease Physician | 207RI0200X | 29529 | SC | |
| Infectious Disease Physician | 207RI0200X | MD205805 | OR | Primary |
| Infectious Disease Physician | 207RI0200X | 01039122 | IN | |
| Infectious Disease Physician | 207RI0200X | 4301049222 | MI |
Addresses
Primary practice location
10201 SE Main St Ste 29
Portland, OR 97216-2937
Mailing address
5003 S Miami Blvd
Durham, NC 27703-8588
Phone (954) 837-2361
Other practice location 1
1414 W Fair Ave
Suite 344
Marquette, MI 49855-2675
Phone (906) 225-3910
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100361910 | Medicaid | IN | |
| 295291 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210830001135 | OR | Practitioner - Infectious Disease | 0840383378 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01039122 | IN | MD | Infectious Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Marquette General Hospital, Inc. | Past | Accepting new patients | |
| Mid-Carolina Infectious Diseases,LLC | Infectious Disease | Past | Accepting new patients |
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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Marquette, MI
- NPI 1205903051
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1631577600000",
"number": "1598725640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5003 S MIAMI BLVD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277038588",
"telephone_number": "954-837-2361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10201 SE MAIN ST STE 29",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972162937",
"telephone_number": "503-261-6028",
"fax_number": "503-261-6725"
}
],
"practiceLocations": [
{
"address_1": "1414 W Fair Ave",
"address_2": "Suite 344",
"address_purpose": "LOCATION",
"city": "Marquette",
"state": "MI",
"postal_code": "498552675",
"country_code": "US",
"telephone_number": "906-225-3910",
"fax_number": "906-225-7498",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERZ",
"first_name": "DAVID",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-24",
"last_updated": "2021-09-14",
"certification_date": "2021-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "SC",
"license": "29529",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "OR",
"license": "MD205805",
"primary": true
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "IN",
"license": "01039122",
"primary": false
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "MI",
"license": "4301049222",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100361910",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "295291",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portland, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.