Active NPI
Neeraja Mariserla, MD
- Internal Medicine Physician
- Joplin, MO
National Provider Identifier
1851748289
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2019024561
- Practice address
- 100 Mercy Way
Joplin, MO 64804-4524 - Phone
- (417) 556-6673
- Fax
- (914) 361-7441
- NPI assigned
- May 16, 2016
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 2019024561 | MO | Primary |
Addresses
Primary practice location
100 Mercy Way
Joplin, MO 64804-4524
Mailing address
100 Mercy Way
Joplin, MO 64804-4524
Phone (417) 556-6673
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2040 W 32ND St
Joplin, MO 64804-3512
Phone (417) 627-1300
Hospital & facility affiliations
- Mercy Hospital Joplin
- Freeman Health System - Freeman West
- University of Kansas Hospital
- Mercy Hospital Springfield
- Landmark Hospital of Joplin, LLC
- Landmark Hospital of Joplin, LLC
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019024561 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic Joplin LLC | Internal Medicine | Current | Accepting new patients |
| Landmark Hospital of Joplin, LLC | Current | Accepting new patients |
Locations
3125 Dr Russell Smith Way
Carthage, MO 64836
Phone (417) 358-8121
94 Main St
Cassville, MO 65625
Phone (417) 782-7722
3255 Independence St
Cpe Girardeau, MO 63701
Phone (573) 331-8026
2040 W 32nd St
Joplin, MO 64804
Phone (417) 627-1300
100 Mercy Way
Joplin, MO 64804
Phone (417) 556-2300
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.
-
- Long Term Care Hospital
- Joplin, MO
- NPI 1972633410
Hospital & facility affiliations 15
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Webb City, MO
- NPI 1114394228
Hospital
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1265546048
-
- Long Term Care Hospital
- Joplin, MO
- NPI 1972633410
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Joplin, MO
- NPI 1700112745
-
- General Acute Care Hospital
- Springfield, MO
- NPI 1578504056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463356800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1562889600000",
"number": "1851748289",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 MERCY WAY",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648044524",
"telephone_number": "417-556-6673",
"fax_number": "914-361-7441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MERCY WAY",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648044524",
"telephone_number": "417-556-6673",
"fax_number": "914-361-7441"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARISERLA",
"first_name": "NEERAJA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-16",
"last_updated": "2019-07-12",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2019024561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2019; 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.