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DR. PRAKRITI SINGH MERCHANT M.D.
NPI 1447546775
Internal Medicine - Gastroenterology in Union, NJ

Active since June 24, 2011PECOS EnrolledAccepts Medicare Assignment
75.07/100
CMS Quality Rating
1308 MORRIS AVE, UNION, NJ 07083(908) 851-2770 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 17, 2018, Jul 25, 2017 (2 updates tracked since 2017).

About Dr. Prakriti Singh Merchant M.d. NPPES

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

DR. PRAKRITI SINGH MERCHANT M.D. (NPI 1447546775) is an individual gastroenterology provider in Union, New Jersey, licensed in New Jersey (25MA10119300) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Trinitas Regional Medical Center, and maintains a secondary practice location in Norwalk.

NPPES Registry Identity

NPI1447546775
Entity TypeIndividualFemale
Primary Taxonomy207RG0100X
Provider Legal NameDR. PRAKRITI SINGH MERCHANTCredential: M.D.
Location Address1308 MORRIS AVEUnion, NJ 07083-3331
Mailing Address1308 Morris AveUnion, NJ 07083-3331
Phone(908) 851-2770
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJune 24, 2011
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
✔ NPI 1447546775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in NJ · 25MA10119300
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1308 MORRIS AVE, Union, NJ 07083
Open in Google Maps ↗

Other Names 1

Former Name (1)Miss Prakriti Singh M.d.

Secondary Practice Location 1

Location 134 Maple StNorwalk, CT 06850-3815 · Phone (203) 852-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Prakriti Singh Merchant M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6002187747
PECOS Enrollment IDI20170731000224
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Prakriti Merchant reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rf Ledon M.D. P.C.
Same address
Gastroenterology
1308 MORRIS AVE, SUITE102
Union, NJ 07083
  • Reassigned Medicare billing, New Jersey enrollment
  • Medicare enrollment name: Rf Ledon MD PC
  • 21 clinicians in this Medicare group
NPI 1912160516 (908) 851-2770
Barnabas Health Medical Group PC
2.4 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
Morris Avenue Endoscopy LLC
5.0 mi
Anesthesiology
200 SHEFFIELD ST STE 101
Mountainside, NJ 07092
  • Reassigned Medicare billing, New Jersey enrollment
  • 40 clinicians in this Medicare group
NPI 1184778060 (908) 241-8900

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

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
157 services82 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
28 services28 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
22 services22 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
18 services13 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
17 services16 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
16 services15 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Trinitas Regional Medical Center

Acute Care Hospitals · Elizabeth, NJ
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310027
Location225 Williamson StreetElizabeth, NJ 07207 · Union County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07083 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.58
Improvement Activities40
Cost45.46

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JORGE ENRIQUE RINCON DC
Chiropractor
1308 MORRIS AVE, SUITE 201
UNION, NJ 07083
Union County (908) 884-4846
DR. PRADEEP S. MAHAL M.D.
Internal Medicine (Gastroenterology)
1308 MORRIS AVE, SUITE 202
UNION, NJ 07083
Union County (908) 851-6767
MR. RAJESH A DHIRMALANI DO
Internal Medicine
1308 MORRIS AVE, SUITE 102
UNION, NJ 07083
Union County (908) 851-2770
DR. RAMON A FERNANDEZ-LEDON M.D.
Internal Medicine (Gastroenterology)
1308 MORRIS AVE, SUITE 102
UNION, NJ 07083
Union County (908) 851-2770
SWARA PATEL
Physician Assistant
1308 MORRIS AVE
UNION, NJ 07083
Union County (908) 851-2770
INFECTIOUS DISEASE SPECIALISTS OF NJ, INC.
Specialist
1308 MORRIS AVE, 204
UNION, NJ 07083
Union County (908) 810-9200
UNION COUNTY PAIN
Anesthesiology (Pain Medicine)
1308 MORRIS AVE
UNION, NJ 07083
Union County (908) 964-6200
DR. KUNAL GROVER MD
Internal Medicine (Gastroenterology)
1308 MORRIS AVE, SUITE 102
UNION, NJ 07083
Union County (908) 851-2770

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 Prakriti Merchant's NPI number?

The NPI number for Prakriti Merchant is 1447546775. It was assigned to this individual provider in the NPPES registry on June 24, 2011. The provider is also known as Miss Prakriti Singh M.D..

Where is Prakriti Merchant located?

Prakriti Merchant practices at 1308 Morris Ave, Union, NJ 07083. The listed phone number is (908) 851-2770.

What is Prakriti Merchant's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Prakriti Merchant enrolled in Medicare?

Yes. Prakriti Merchant is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Prakriti Merchant's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Prakriti Merchant reassigns Medicare benefits to 3 organizations: Rf Ledon M.D. P.C. (Union, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ) and Morris Avenue Endoscopy LLC (Mountainside, NJ). Each 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 Prakriti Merchant's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Prakriti Merchant accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Prakriti Merchant as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Prakriti Merchant affiliated with any hospitals?

According to CMS data, Prakriti Merchant is affiliated with Trinitas Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Prakriti Merchant was last updated on March 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.