Ellen S Mercado, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA07104 Issued in TX

Practice address

4690 Sweetwater Blvd
St #200
Sugar Land, TX 77479-3467

Phone

(281) 565-0033

NPI assigned

Jan 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1295827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1750686606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2723 POLK ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770034536",
            "telephone_number": "281-565-0033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4690 SWEETWATER BLVD",
            "address_2": "ST #200",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793467",
            "telephone_number": "281-565-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "ELLEN",
        "middle_name": "S",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-24",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA07104",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "220482801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "845N06",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angelica M Mendez
• Jorge A. Mendoza-Valencia, LSA, SA-C.
• Sheela Menezes, NP
• Pamela F. Mengo, RN, ACNP
• Mentally Mindful Wellness Group LLC
• Hina Moosa Merchant, M.A., CCC-SLP
• Merciful Hands Assisted Living. L.L.C
• Mercy Emergency Room
• Mercy Medical Clinics of Fulshear
• Mercy Physicians Group PLLC

• Physician Assistant in Sugar Land, TX
• Providers in Sugar Land, TX by specialty
• Physician Assistant in Texas

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.