MERIT MEDICAL CARE LLC
NPI 1265762819
Clinic/Center - Primary Care in Merritt Island, FL

Active since January 05, 2010CLIA 10D2001935 · Waiver
45 MCLEOD ST STE 200, MERRITT ISLAND, FL 32953(321) 452-2016 Get Directions Write a Review

NPPES record last updated: November 8, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Merit Medical Care Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MERIT MEDICAL CARE LLC (NPI 1265762819) is a healthcare organization registered as a primary care in Merritt Island, Florida and active in the NPI registry since January 2010. The organization holds a CLIA Waiver certificate valid through January 4, 2028, maintains a secondary practice location in Merritt Island, and lists San Htut Thiha, Owner, as its authorized official.

NPPES Registry Identity

NPI1265762819
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameMERIT MEDICAL CARE LLC
Location Address45 MCLEOD ST STE 200Merritt Island, FL 32953-3523
Mailing Address45 Mcleod StMerritt Island, FL 32953-3523 · (321) 452-2016 · Fax (321) 452-5728
Organization SubpartNo
Authorized OfficialSan Htut ThihaOwner · (321) 452-2016
Enumeration DateJanuary 5, 2010
Last NPPES UpdateNovember 8, 2024
NPPES CertifiedNovember 8, 2024
✔ NPI 1265762819 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
45 MCLEOD ST STE 200, Merritt Island, FL 32953

Secondary Practice Location 1

Location 11395 N Courtenay Pkwy Ste 200Merritt Island, FL 32953-4475 · Phone (321) 459-1333

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Merit Medical Care Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Merit Medical Care LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Nurse Practitioner
NPI 1003068214
45 MCLEOD ST
Merritt Island, FL 32953
(321) 452-2016
✔ PECOSSame address
Internal Medicine
NPI 1285678995
45 MCLEOD ST
Merritt Island, FL 32953
(321) 452-2016
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2001935

Merit Medical Care · Merritt Island, FL
Active · expires Jan 4, 2028
CLIA Number10D2001935
Laboratory TypePhysician Office
Certificate Effective DateJanuary 5, 2026
Certificate Expiration DateJanuary 4, 2028
Laboratory DirectorSan H. Thiha
Laboratory Phone(321) 452-2016
Laboratory LocationMerit Medical Care45 Mcleod St, Merritt Island, FL 32953
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Merit Medical Care LLC's NPI number?

The NPI number for Merit Medical Care LLC is 1265762819. It was assigned to this organization in the NPPES registry on January 5, 2010.

Where is Merit Medical Care LLC located?

Merit Medical Care LLC is located at 45 Mcleod St Ste 200, Merritt Island, FL 32953. The listed phone number is (321) 452-2016.

What is Merit Medical Care LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Merit Medical Care LLC enrolled in Medicare?

Yes. Merit Medical Care LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Merit Medical Care LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Merit Medical Care LLC, in Internal Medicine and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Merit Medical Care LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2001935) is associated with this NPI, valid through January 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Merit Medical Care LLC was last updated on November 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.