Individual provider Active NPI

Christian Ayer Merrill, MD

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Birmingham, AL
National Provider Identifier
1962899849
Registry record updated Jul 31, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
License
MD.40665 Issued in AL
Practice address
805 Saint Vincents Dr Ste 100
Birmingham, AL 35205-1638
Phone
(205) 939-3699
Fax
(205) 581-7155
NPI assigned
Apr 18, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD.40665 AL
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X MD.40665 AL Primary

Addresses

Primary practice location

805 Saint Vincents Dr Ste 100
Birmingham, AL 35205-1638

Mailing address

805 Saint Vincents Dr Ste 100
Birmingham, AL 35205-1638
Phone (205) 939-3699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20210701003810 CT Practitioner - Orthopedic Surgery 3072824531 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Tufts University School of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Sports Specialists PCGroup PAC ID 0840254678, 9 clinicians

Practice addresses (Care Compare)

84 Glastonbury Blvd
Suite 101
Glastonbury, CT 06033-4468
Phone (860) 652-8883

Hospital & facility affiliations

  • St Francis Hospital & Medical Center Hospital, Hartford, CT, CCN 070002
  • Day Kimball Hospital Hospital, Putnam, CT, CCN 070003
  • Westview Health Care Center Nursing home, Dayville, CT, CCN 075078

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement12
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)15

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.40665ALMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Sports Specialists, PC Orthopaedic Surgery CurrentSince Aug 1, 2021 Accepting new patients
Orthopaedic Sports Specialists, PC PastSince Aug 1, 2021 Accepting new patients

Locations

84 Glastonbury Blvd
Ste 101
Glastonbury, CT 06033
Phone (860) 652-8883

Interoperability endpoints

  • Direct secure messaging: christian.merrill@1016.chartlogic.direct-ci.com

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1429315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596153600000",
    "number": "1962899849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 SAINT VINCENTS DR STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051638",
            "telephone_number": "205-939-3699",
            "fax_number": "205-581-7155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 SAINT VINCENTS DR STE 100",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352051638",
            "telephone_number": "205-939-3699",
            "fax_number": "205-581-7155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRILL",
        "first_name": "CHRISTIAN",
        "middle_name": "AYER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-18",
        "last_updated": "2020-07-31",
        "certification_date": "2020-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "AL",
            "license": "MD.40665",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "AL",
            "license": "MD.40665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.