MERCADO MEDICAL PRACTICE LLC
NPI 1629160742
Internal Medicine in Philadelphia, PA
About Mercado Medical Practice Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MERCADO MEDICAL PRACTICE LLC (NPI 1629160742) is a healthcare organization registered as an internal medicine in Philadelphia, Pennsylvania and active in the NPI registry since September 2006. The organization lists Max Enrique Mercado, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Mercado Medical Practice Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Mercado Medical Practice LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Mercado Medical Practice LLC's NPI number?
The NPI number for Mercado Medical Practice LLC is 1629160742. It was assigned to this organization in the NPPES registry on September 28, 2006.
Where is Mercado Medical Practice LLC located?
Mercado Medical Practice LLC is located at 7500 Central Ave Ste 203, Philadelphia, PA 19111. The listed phone number is (215) 289-4434.
What is Mercado Medical Practice LLC's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Mercado Medical Practice LLC enrolled in Medicare?
Yes. Mercado Medical Practice LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Mercado Medical Practice LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians reassign their Medicare billing to Mercado Medical Practice LLC, in Family Practice, General Practice, Internal Medicine and Obstetrics/Gynecology. 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 and 4 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Mercado Medical Practice LLC accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Mercado Medical Practice LLC 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.
When was this NPI record last updated?
The NPPES record for Mercado Medical Practice LLC was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Mercado Medical Practice Llc · NPI 1629160742
Internal Medicine organization in Philadelphia, Pennsylvania. Organization record, active in the CMS NPPES registry since September 28, 2006.
## Identity
- **NPI:** 1629160742 (Entity type: Organization)
- **Enumerated:** September 28, 2006
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Max Mercado, OWNER
## Practice location
- **Address:** 7500 CENTRAL AVE STE 203, Philadelphia, PA 19111-2432
- **Phone:** (215) 289-4434 · **Fax:** (215) 289-7442
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Internal Medicine (2), Family Practice (1), General Practice (1); 2 practice at this address and 4 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 30, 2026
- **Other identifiers:** Medicaid 0019063200001 (PA)
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Source: [NPI Profile](https://npiprofile.com/npi/1629160742) · Data from the CMS NPPES public registry.