Individual provider Active NPI

Steven Merahn, MD

  • Pediatrics Physician
  • Orchard Lake, MI
National Provider Identifier
1821225756
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
4301109179 Issued in MI
Practice address
4040 Harbor Vista Dr
Orchard Lake, MI 48323-1618
Phone
(917) 689-8954
NPI assigned
Jun 18, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 162419 NY
Pediatrics Physician 208000000X 4301109179 MI Primary

Addresses

Primary practice location

4040 Harbor Vista Dr
Orchard Lake, MI 48323-1618

Mailing address

4040 Harbor Vista Dr
Orchard Lake, MI 48323-1618
Phone (917) 689-8954

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250721002260 MI Practitioner - General Practice 8123486479 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
162419NYMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LTC Physician Care PC CurrentSince Apr 25, 2023 Accepting new patients
Michigan Wound Care Plus PC Current Accepting new patients

Locations

18200 W 13 Mile Rd
Beverly Hills, MI 48025
Phone (248) 647-6500

725 Fuller Ave
Big Rapids, MI 49307
Phone (231) 796-2631

30600 Telegraph Rd
Ste E1130
Bingham Farms, MI 48025

2060 Health Dr SW
Wyoming, MI 49519
Phone (616) 333-1200

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.

NPI Registry JSON

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

{
    "created_epoch": "1245283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1821225756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4040 HARBOR VISTA DR",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483231618",
            "telephone_number": "917-689-8954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 HARBOR VISTA DR",
            "city": "ORCHARD LAKE",
            "state": "MI",
            "postal_code": "483231618",
            "telephone_number": "917-689-8954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERAHN",
        "first_name": "STEVEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-06-18",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NY",
            "license": "162419",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MI",
            "license": "4301109179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Lake, MI

Sources for this page

Verify at the official NPI Registry.