Individual provider Active NPI

Keith S Merlin, M.D.

  • Obstetrics & Gynecology Physician
  • North Easton, MA
National Provider Identifier
1659316701
Registry record updated Nov 10, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
160429 Issued in MA
Practice address
31 Roche Bros Way
North Easton, MA 02356-1032
Phone
(508) 894-8740
Fax
(508) 894-8742
NPI assigned
Jun 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 160429 MA Primary

Addresses

Primary practice location

31 Roche Bros Way
North Easton, MA 02356-1032

Mailing address

31 Roche Bros Way
North Easton, MA 02356-1032
Phone (508) 894-8740

Other identifiers 1

IdentifierTypeStateIssuer
3193438MedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091027000640 MA Practitioner - Obstetrics/Gynecology 4486543949

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Georgetown University School of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

31 Roche Bros Way
North Easton, MA 02356-1032

680 Centre St
Brockton, MA 02302-3308

Hospital & facility affiliations

  • Signature Healthcare Brockton Hospital Hospital, Brockton, MA, CCN 220052

Merit-based Incentive Payment System (MIPS)

Final score
88.83 of 100Reported as group
Quality
70.13
Promoting interoperability
100
Improvement activities
40
Cost
75.97

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
160429MAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Women'S Health Affiliates, Inc. Obstetrics & Gynecology CurrentSince Dec 5, 2003 Accepting new patients
Signature Healthcare Medical Group Inc Obstetrics & Gynecology CurrentSince Oct 1, 2009 Accepting new patients

Locations

360 Brockton Ave
Abington, MA 02351
Phone (781) 878-1700

680 Centre St
Brockton, MA 02302
Phone (508) 941-7400

31 Roche Brothers Way
Ste 2
North Easton, MA 02356

31 Roche Brothers Way
North Easton, MA 02356
Phone (508) 894-8730

Interoperability endpoints

  • Direct secure messaging: keith.merlin@direct.signature.masshiway.net

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.

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447113600000",
    "number": "1659316701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ROCHE BROS WAY",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561032",
            "telephone_number": "508-894-8740",
            "fax_number": "508-894-8742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ROCHE BROS WAY",
            "city": "NORTH EASTON",
            "state": "MA",
            "postal_code": "023561032",
            "telephone_number": "508-894-8740",
            "fax_number": "508-894-8742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERLIN",
        "first_name": "KEITH",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2015-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "160429",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3193438",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Easton, MA

Sources for this page

Verify at the official NPI Registry.