Active NPI
Andrew David Merkin, MD
- Internal Medicine Physician
- Mesquite, TX
National Provider Identifier
1831144534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- F4278
- Practice address
- 2692 N Galloway
Suite 403
Mesquite, TX 75150 - Phone
- (972) 686-9339
- Fax
- (972) 686-9799
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | F4278 | TX | Primary |
Addresses
Primary practice location
2692 N Galloway
Suite 403
Mesquite, TX 75150
Mailing address
2692 N Galloway
Suite 403
Mesquite, TX 75150
Phone (972) 686-9339
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 139078303 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110225000592 | TX | Practitioner - Internal Medicine | 0840471660 | Practice locations: Mesquite, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Texas Medical Branch at Galveston, 1979
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2692 N Galloway
Suite 403
Mesquite, TX 75150-6368
2692 N Galloway Ave
Suite 403
Mesquite, TX 75150-6368
Phone (972) 686-9339
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F4278 | TX | MD | Internal Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221436800000",
"number": "1831144534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2692 N GALLOWAY",
"address_2": "SUITE 403",
"city": "MESQUITE",
"state": "TX",
"postal_code": "75150",
"telephone_number": "972-686-9339",
"fax_number": "972-686-9799"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2692 N GALLOWAY",
"address_2": "SUITE 403",
"city": "MESQUITE",
"state": "TX",
"postal_code": "75150",
"telephone_number": "972-686-9339",
"fax_number": "972-686-9799"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERKIN",
"first_name": "ANDREW",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2008-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "F4278",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "139078303",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mesquite, TX
- Nader Samir Mekhael
- Erin Star Melton, FNP
- Ifeoma Geraldine Menakaya, APRN
- Saya Paris Menzies, PT, DPT
- Meridian Pharamcy Group at Galloway, Inc
- Mesquite Anesthesiology Association, PA
- Mesquite Arthritis Clinic, P.a.
- Mesquite Children'S Clinic, PA
- Mesquite Chiropractic Health Center
- Mesquite Crossing Dental, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2008; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.