DR. MERYL ELIZABETH ETHRIDGE MD
NPI 1447749270
Surgery in Clinton Township, MI
About Dr. Meryl Elizabeth Ethridge Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MERYL ELIZABETH ETHRIDGE MD (NPI 1447749270) is an individual surgery provider in Clinton Township, Michigan, licensed in Michigan (4301517811) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains a secondary practice location in Skokie.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Accepted 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. Meryl Elizabeth Ethridge Md 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.
Medicare Billing Reassignments
3Medicare enrollment records show Meryl Ethridge reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Clinton Township, MI 48038
- Reassigned Medicare billing, Michigan enrollment
- 556 clinicians in this Medicare group
Detroit, MI 48202
- Reassigned Medicare billing, Michigan enrollment
- Medicare enrollment name: Henry Ford Health System
- 1,886 clinicians in this Medicare group
Evanston, IL 60201
- Reassigned Medicare billing, Illinois enrollment
- 4,841 clinicians in this Medicare group
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 2
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Northshore University Healthsystem - Evanston Hospital
Acute Care Hospitals · Evanston, ILPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 48038 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLINTON TOWNSHIP, MI 48038
CLINTON TWP, MI 48038
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 Meryl Ethridge's NPI number?
The NPI number for Meryl Ethridge is 1447749270. It was assigned to this individual provider in the NPPES registry on May 7, 2018.
Where is Meryl Ethridge located?
Meryl Ethridge practices at 15855 19 Mile Rd, Clinton Township, MI 48038. The listed phone number is (586) 573-8030.
What is Meryl Ethridge's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Meryl Ethridge enrolled in Medicare?
Yes. Meryl Ethridge 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 Meryl Ethridge's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Meryl Ethridge reassigns Medicare benefits to 3 organizations: Henry Ford Macomb Hospital Corporation (Clinton Township, MI), Henry Ford Heath System (Detroit, MI) and Endeavor Health Medical Group (Evanston, IL). 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 Meryl Ethridge's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Meryl Ethridge accept?
Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Meryl Ethridge 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 Meryl Ethridge affiliated with any hospitals?
According to CMS data, Meryl Ethridge is affiliated with Northshore University Healthsystem - Evanston Hospital.
When was this NPI record last updated?
The NPPES record for Meryl Ethridge was last updated on July 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Meryl Elizabeth Ethridge, MD · NPI 1447749270
Surgery physician in Clinton Township, Michigan. Individual provider, active in the CMS NPPES registry since May 7, 2018.
## Identity
- **NPI:** 1447749270 (Entity type: Individual)
- **Enumerated:** May 7, 2018
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 4301517811 (Michigan)
- **Sole proprietor:** No
## Practice location
- **Address:** 15855 19 MILE RD, Clinton Township, MI 48038-3504
- **Phone:** (586) 573-8030
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Henry Ford Macomb Hospital Corporation (NPI 1598802936, Clinton Township, MI); Henry Ford Heath System (NPI 1013119817, Detroit, MI); Endeavor Health Medical Group (NPI 1265695944, Evanston, IL) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Temple University School Of Medicine, class of 2018
## Record status
- **NPPES last updated:** July 27, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1447749270) · Data from the CMS NPPES public registry.