Individual provider Active NPI

Miguel Angel Mercado, MD

  • Urology Physician
  • Tomball, TX
National Provider Identifier
1700102704
Registry record updated May 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
P8603 Issued in TX
Practice address
506 Graham Dr Ste 150
Tomball, TX 77375-3346
Phone
(281) 351-5174
Fax
(281) 381-5172
NPI assigned
Apr 15, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X BP10034440 TX
Urology Physician 208800000X P8603 TX Primary

Addresses

Primary practice location

506 Graham Dr Ste 150
Tomball, TX 77375-3346

Mailing address

PO Box 911230
Dallas, TX 75391-1230
Phone (972) 997-8000

Other identifiers 3

IdentifierTypeStateIssuer
P01626906OtherTXRAILROAD MEDICARE
346776301MedicaidTX
346776302MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20150630000159 TX Practitioner - Urology 8224340542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Columbia University College of Physicians and Surgeons, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

13215 Dotson Rd
Houston, TX 77070-4535

13215 Dotson Rd
Suite 170
Houston, TX 77070-4543
Phone (281) 517-0808

17189 I 45
Suite 305
Shenandoah, TX 77385-3320
Phone (281) 351-5174

2026 S Jackson St
Jacksonville, TX 75766-5822
Phone (903) 586-2456

506 Graham Dr
Suite 150
Tomball, TX 77375-3467
Phone (281) 351-5174

7777 Forest LN
Suite C618
Dallas, TX 75230-6855
Phone (972) 566-5400

7777 Forest LN
Suite C707
Dallas, TX 75230-6861
Phone (972) 566-3000

7848 Gateway Blvd E
El Paso, TX 79915-1815
Phone (915) 599-1313

925 Gessner Rd
Suite 550
Houston, TX 77024-2843
Phone (713) 467-1722

PO Box
Suite 911242
Dallas, TX 75391-1242

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection23
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10034440TXMDUrology Physician
P8603TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA CurrentSince Aug 1, 2015 Accepting new patients
Texas Oncology PA Urology Current Accepting new patients
Texas Oncology PA CurrentSince Aug 1, 2015 Accepting new patients

Locations

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

17189 Interstate 45 S
Ste 305
Shenandoah, TX 77385
Phone (281) 351-5174

506 Graham Dr
Ste 150
Tomball, TX 77375
Phone (281) 351-5174

Interoperability endpoints

  • Direct secure messaging: miguelmercado@tushouston.medalliesdirect.net
  • Direct secure messaging: miguel.mercado.1@11939.direct.athenahealth.com
  • Direct secure messaging: miguel.mercado.2@11939.direct.athenahealth.com

Organizations & group practices 3

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 10

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": "1271289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1462752000000",
    "number": "1700102704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753911230",
            "telephone_number": "972-997-8000",
            "fax_number": "972-234-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "506 GRAHAM DR STE 150",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773753346",
            "telephone_number": "281-351-5174",
            "fax_number": "281-381-5172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-15",
        "last_updated": "2016-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "BP10034440",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "P8603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01626906",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346776301",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "346776302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.