Active NPI
John U. Merkel, M.D.
- Family Medicine Physician
- Teutopolis, IL
National Provider Identifier
1972563500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036065845
- Practice address
- 206 N Pearl St
Teutopolis, IL 62467-1134 - Phone
- (217) 857-6481
- Fax
- (217) 857-6094
- NPI assigned
- Mar 27, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036065845 | IL | Primary |
Addresses
Primary practice location
206 N Pearl St
Teutopolis, IL 62467-1134
Mailing address
1207 Network Centre Dr
Suite 3
Effingham, IL 62401-4632
Phone (217) 347-2707
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 105492 | Other | IL | HEALTHLINK |
| 336030155 | Other | IL | ILLINOIS CONTROLLED SUBSTANCE LICENSE |
| 371391171004 | Medicaid | IL | |
| 054835 | Other | IL | HEALTH ALLIANCE |
| 080152118 | Other | IL | RAILROAD MEDICARE |
| 0022540105 | Other | IL | BLUE CROSS BLUE SHIELD IL |
| 170984 | Other | IL | PERSONAL CARE |
| 873618 | Other | FIRST HEALTH/ COVENTRY | |
| 036065845 | Other | IL | ILLINOIS LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143417600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1972563500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1207 NETWORK CENTRE DR",
"address_2": "SUITE 3",
"city": "EFFINGHAM",
"state": "IL",
"postal_code": "624014632",
"telephone_number": "217-347-2707",
"fax_number": "217-347-2827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 N PEARL ST",
"city": "TEUTOPOLIS",
"state": "IL",
"postal_code": "624671134",
"telephone_number": "217-857-6481",
"fax_number": "217-857-6094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MERKEL",
"first_name": "JOHN",
"middle_name": "U.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-27",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036065845",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "105492",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS CONTROLLED SUBSTANCE LICENSE",
"identifier": "336030155",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "371391171004",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH ALLIANCE",
"identifier": "054835",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080152118",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD IL",
"identifier": "0022540105",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PERSONAL CARE",
"identifier": "170984",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH/ COVENTRY",
"identifier": "873618",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ILLINOIS LICENSE",
"identifier": "036065845",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Teutopolis, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.