Individual provider Active NPI

Daniel Merck, MD

  • Internal Medicine Physician
  • Auburn, CA
National Provider Identifier
1750300067
Registry record updated Mar 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
AO62952 Issued in CT
Practice address
3111 Professional Dr
Auburn, CA 95603-2456
Phone
(530) 885-5618
Fax
(530) 889-0636
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X AO62952 CT Primary

Addresses

Primary practice location

3111 Professional Dr
Auburn, CA 95603-2456

Mailing address

3111 Professional Dr
Auburn, CA 95603-2456
Phone (530) 885-5618

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20060104000654 CA Practitioner - Internal Medicine 4385667435 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
AO62952CTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince Aug 1, 2015 Accepting new patients
Regents of the University of California CurrentSince Aug 1, 2015 Accepting new patients
Essent PRMC LP Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Regents of the Univ of Ca Past Accepting new patients

Locations

3200 Bell Rd
Auburn, CA 95603
Phone (530) 886-7616

3111 Professional Dr
Auburn, CA 95603
Phone (530) 274-9762

4900 Broadway
Ste 1200
Sacramento, CA 95820
Phone (916) 734-9255

500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700

3160 Folsom Blvd
Ste 2500
Sacramento, CA 95816
Phone (916) 734-5846

4860 Y St
Ste 200
Sacramento, CA 95817
Phone (916) 734-3761

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330905600000",
    "number": "1750300067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 PROFESSIONAL DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032456",
            "telephone_number": "530-885-5618",
            "fax_number": "530-889-0636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 PROFESSIONAL DR",
            "city": "AUBURN",
            "state": "CA",
            "postal_code": "956032456",
            "telephone_number": "530-885-5618",
            "fax_number": "530-889-0636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCK",
        "first_name": "DANIEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2012-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "AO62952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Auburn, CA

Sources for this page

Verify at the official NPI Registry.