Active NPI
O. Kent Mercado, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Carol Stream, IL
National Provider Identifier
1750491106
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 016004238
- Practice address
- 501 Thornhill Dr
#100
Carol Stream, IL 60188-2793 - Phone
- (630) 690-3338
- Fax
- (630) 690-3488
- NPI assigned
- Aug 30, 2006
- Last updated
- May 20, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 016004238 | IL | Primary |
Addresses
Primary practice location
501 Thornhill Dr
#100
Carol Stream, IL 60188-2793
Mailing address
501 Thornhill Dr
#100
Carol Stream, IL 60188-2793
Phone (630) 690-3338
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 016004238 | Medicaid | IL | |
| 60001691 | Other | IL | BC/BS PROVIDER # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369008000000",
"number": "1750491106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 THORNHILL DR",
"address_2": "#100",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601882793",
"telephone_number": "630-690-3338",
"fax_number": "630-690-3488"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 THORNHILL DR",
"address_2": "#100",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601882793",
"telephone_number": "630-690-3338",
"fax_number": "630-690-3488"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERCADO",
"first_name": "O.",
"middle_name": "KENT",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2013-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IL",
"license": "016004238",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "016004238",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS PROVIDER #",
"identifier": "60001691",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carol Stream, IL
- Augusta J McNeary
- Medical and Rehabilitation Center of Carol Stream LLC
- Meera Narsimhan DDS Inc (sunshine family dental)
- Bowen F Meissen, CADC
- Mahilat Gizatu Mekonnen, PMHNP-BC
- Metro Dental Associates
- Richard T Meyer Jr., M.D.
- Michael F. Dani DDS PC
- Midwest Coach Builders, Inc (Mobility Masters, Inc)
- Midwest Express Care 2 Inc
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.