Active NPI
Furva Merchant
- Physician Assistant
- Southfield, MI
National Provider Identifier
1811238124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601009727
- Practice address
- 28300 Franklin Rd Ste 100
Southfield, MI 48034-1657 - Phone
- (248) 973-3660
- NPI assigned
- Mar 12, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9106826 | FL | |
| Physician Assistant | 363A00000X | 5601009727 | MI | Primary |
Addresses
Primary practice location
28300 Franklin Rd Ste 100
Southfield, MI 48034-1657
Mailing address
6981 Piazza St
Orlando, FL 32819-5289
Other practice location 1
58 W Michigan St
Orlando, FL 32806-4453
Phone (407) 650-9220
Other practice location 2
7588 Toscana Blvd Apt 424
Orlando, FL 32819-5524
Phone (407) 984-7803
Other practice location 3
6981 Piazza St
Orlando, FL 32819-5289
Phone (407) 371-1236
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Innovation Medicine, PLLC | Past | Accepting new patients |
Interoperability endpoints
- ortelellcasphysicianuniversepllc.furvamerchant@143718.advancedmd-direct.com
Organizations & group practices 2
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.
-
- Specialist
- Bloomfield Hills, MI
- NPI 1023435856
-
- Internal Medicine Physician
- Roseville, MI
- NPI 1720511405
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1606953600000",
"number": "1811238124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6981 PIAZZA ST",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328195289"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28300 FRANKLIN RD STE 100",
"city": "SOUTHFIELD",
"state": "MI",
"postal_code": "480341657",
"telephone_number": "248-973-3660"
}
],
"practiceLocations": [
{
"address_1": "58 W Michigan St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328064453",
"country_code": "US",
"telephone_number": "407-650-9220",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7588 Toscana Blvd Apt 424",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328195524",
"country_code": "US",
"telephone_number": "407-984-7803",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6981 Piazza St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328195289",
"country_code": "US",
"telephone_number": "407-371-1236",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MERCHANT",
"first_name": "FURVA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-03-12",
"last_updated": "2020-12-03",
"certification_date": "2020-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9106826",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601009727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2020; 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.