Individual provider Active NPI

Amy E Merritt, MD

  • Internal Medicine Physician
  • Lewisville, TX
National Provider Identifier
1821130089
Registry record updated Aug 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
31035 Issued in CO
Practice address
1945 Lakepointe Dr
Lewisville, TX 75057-6469
Phone
(143) 025-3052
NPI assigned
Feb 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 31035 CO
Internal Medicine Physician 207R00000X 13287R LA
Hospitalist Physician 208M00000X MD.13287R LA
Internal Medicine Physician 207R00000X 31035 CO Primary

Addresses

Primary practice location

1945 Lakepointe Dr
Lewisville, TX 75057-6469

Mailing address

9295 Kornbrust Cir
Lone Tree, CO 80124-5552
Phone (985) 290-2074

Other identifiers 2

IdentifierTypeStateIssuer
03303308MedicaidMS
1564974MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Oct 1, 2020 through Oct 1, 2026

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31035COMDInternal Medicine Physician
13287RLAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Total Healing LLC Internal Medicine CurrentSince Jul 14, 2004 Accepting new patients

Locations

10099 Ridgegate Pkwy
Ste 210
Lone Tree, CO 80124
Phone (720) 221-4335

2375 Gause Blvd E
Slidell, LA 70461
Phone (504) 645-9000

Interoperability endpoints

  • Direct secure messaging: asheeder232515@direct.ochsner.org
  • Direct secure messaging: amy.merritt.1@33201.direct.athenahealth.com

Organizations & group practices 1

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": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692230400000",
    "number": "1821130089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9295 KORNBRUST CIR",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245552",
            "telephone_number": "985-290-2074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1945 LAKEPOINTE DR",
            "city": "LEWISVILLE",
            "state": "TX",
            "postal_code": "750576469",
            "telephone_number": "143-025-3052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "AMY",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-13",
        "last_updated": "2023-08-17",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "31035",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "13287R",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "LA",
            "license": "MD.13287R",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "31035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03303308",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1564974",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lewisville, TX

Sources for this page

Verify at the official NPI Registry.