Individual provider Active NPI

Migdalia Merida, MD

  • Internal Medicine Physician
  • Dade City, FL
National Provider Identifier
1770526766
Registry record updated Mar 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME74618 Issued in FL
Practice address
36739 State Road 52 101
Dade City, FL 33525-5101
Phone
(352) 437-5970
Fax
(352) 437-5998
NPI assigned
Jun 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X ME74618 FL
Internal Medicine Physician 207R00000X MD60417663 WA
Internal Medicine Physician 207R00000X ME74618 FL Primary

Addresses

Primary practice location

36739 State Road 52 101
Dade City, FL 33525-5101

Mailing address

36739 State Road 52 101
Dade City, FL 33525-5101
Phone (352) 437-5970

Other identifiers 3

IdentifierTypeStateIssuer
258485900MedicaidFL
221247OtherFLAMERIGROUP
46284OtherFLBLUE CROSS OF FLORIDA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20151120001229 FL Practitioner - Internal Medicine 8729271762 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME74618FLMDInternal Medicine Physician
MD60417663WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince May 31, 2019 Accepting new patients
Steward Medical Group, Inc. Internal Medicine CurrentSince May 31, 2019 Accepting new patients
Stewart and Stewart a Medical Corporation Internal Medicine Past Accepting new patients

Locations

8000 Ron Beatty Blvd
Ste A-3
Sebastian, FL 32976
Phone (772) 664-1388

1600 36th St
Ste C
Vero Beach, FL 32960
Phone (772) 217-4422

Interoperability endpoints

  • Direct secure messaging: migdalia.merida@27209220882436.direct.elationemr.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.

NPI Registry JSON

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

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458604800000",
    "number": "1770526766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36739 STATE ROAD 52 101",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335255101",
            "telephone_number": "352-437-5970",
            "fax_number": "352-437-5998"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36739 STATE ROAD 52 101",
            "city": "DADE CITY",
            "state": "FL",
            "postal_code": "335255101",
            "telephone_number": "352-437-5970",
            "fax_number": "352-437-5998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERIDA",
        "first_name": "MIGDALIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-14",
        "last_updated": "2016-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME74618",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60417663",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME74618",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258485900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "221247",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OF FLORIDA",
            "identifier": "46284",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dade City, FL

Sources for this page

Verify at the official NPI Registry.