Diana Maria Mercado-Marmarosh, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

P8390 Issued in TX

Practice address

1013A S Wells St
Edna, TX 77957-4045

Phone

(361) 782-7820

Fax

(361) 782-5627

NPI assigned

Jun 14, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

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

Specialty

Family Practice

Education

University of Texas Medical School at Houston, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Jackson County Hospital DistrictGroup PAC ID 2365423795, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Jackson County Home Health Home health agency, Edna, TX, CCN 677103
• Jackson Healthcare Center Hospital, Edna, TX, CCN 451363
• Citizens Medical Center Hospital, Victoria, TX, CCN 450023
• Jackson Healthcare Center Nursing home, CCN 45Z363

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Jackson County Hospital District

  • Emergency Medicine Physician
  • Edna, TX
  • NPI 1215971478

  TX

  Medicare reassignment Care Compare group NPD
• Baylor College of Medicine

  • Family Medicine Physician
  • Houston, TX
  • NPI 1053352914

  Family Medicine, TX

  Medicare reassignment NPD
• Baylor College of Medicine

  • Internal Medicine Physician
  • Houston, TX
  • NPI 1104867175
  NPD
• Jackson County Hospital District

  • Rural Health Clinic/Center
  • Ganado, TX
  • NPI 1679445654
  NPD
• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Citizens Medical Center County of Victoria

  • General Acute Care Hospital
  • Victoria, TX
  • NPI 1124052162

  Hospital

  Care Compare affiliation
• Jackson County Hospital District

  • Critical Access Hospital
  • Edna, TX
  • NPI 1124061882

  Hospital

  Care Compare affiliation
• Jackson County Hospital District

  • Home Health Agency
  • Edna, TX
  • NPI 1285677401
  Care Compare affiliation
• Jackson County Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Edna, TX
  • NPI 1841371739

  Nursing home

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1619298643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1013A S WELLS ST",
            "city": "EDNA",
            "state": "TX",
            "postal_code": "779574045",
            "telephone_number": "361-782-7820",
            "fax_number": "361-782-5627"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013A S WELLS ST",
            "city": "EDNA",
            "state": "TX",
            "postal_code": "779574045",
            "telephone_number": "361-782-7820",
            "fax_number": "361-782-5627"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "927 Shaw Ave",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775061430",
            "country_code": "US",
            "telephone_number": "713-982-5900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERCADO-MARMAROSH",
        "first_name": "DIANA",
        "middle_name": "MARIA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-14",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10036757",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P8390",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "332697703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stephanie Kay Laskowski, FNP-C
• McHenry Lee, DDS PC
• Cesar Alfredo Maldonado, M.D.
• Melynn K Malek
• Kara Nicole McCain, PT
• Whitney Miller, LPC
• Jared Mitchell, M.D.
• Richard Walter Nelson, M.D.
• Jared D Nielson, FNP-C
• Courtney Lynn Novella, MSN, APRN, FNP-C

• All providers in Edna, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2019; 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.

Verify at the official NPI Registry.