Individual provider Active NPI

Rosa Maria Mercado, M.D.

  • Family Medicine Physician
  • Fountain Hills, AZ
National Provider Identifier
1922032598
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
13045 Issued in PR
Practice address
13225 N Fountain Hills Blvd
#254
Fountain Hills, AZ 85268-3811
Phone
(480) 816-1179
NPI assigned
Jul 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 13045 PR Primary

Addresses

Primary practice location

13225 N Fountain Hills Blvd
#254
Fountain Hills, AZ 85268-3811

Mailing address

13225 N Fountain Hills Blvd
#254
Fountain Hills, AZ 85268-3811
Phone (480) 816-1179

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20250721001133 AZ Order and Referring Only - Family PracticePractitioner - Family Practice 8527574227

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
13045PRMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1922032598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13225 N FOUNTAIN HILLS BLVD",
            "address_2": "#254",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683811",
            "telephone_number": "480-816-1179"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13225 N FOUNTAIN HILLS BLVD",
            "address_2": "#254",
            "city": "FOUNTAIN HILLS",
            "state": "AZ",
            "postal_code": "852683811",
            "telephone_number": "480-816-1179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERCADO",
        "first_name": "ROSA",
        "middle_name": "MARIA",
        "name_prefix": "Ms.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-10",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PR",
            "license": "13045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fountain Hills, AZ

Sources for this page

Verify at the official NPI Registry.