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DR. FERNANDO MERINO M.D.
NPI 1659354736
Internal Medicine - Infectious Disease in Kansas City, KS

Active since November 22, 2005PECOS EnrolledAccepts Medicare Assignment
91.89/100
CMS Quality Rating
3901 RAINBOW BOULEVARD, 6067 DELP, MAIL STOP 1028, KANSAS CITY, KS 66160(913) 588-6035(913) 945-6916 Get Directions Write a Review

NPPES record last updated: August 21, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Fernando Merino M.d. NPPES

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

DR. FERNANDO MERINO M.D. (NPI 1659354736) is an individual infectious disease provider in Kansas City, Kansas, licensed in Kansas (04-32737) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1659354736
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. FERNANDO MERINOCredential: M.D.
Location Address3901 RAINBOW BOULEVARD, 6067 DELP, MAIL STOP 1028Kansas City, KS 66160
Mailing Address3901 Rainbow Boulevard, 6067 Delp, Mail Stop 1028Kansas City, KS 66160 · (913) 588-6035 · Fax (913) 945-6916
Phone(913) 588-6035
Fax(913) 945-6916
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateNovember 22, 2005
Last NPPES UpdateAugust 21, 2014
✔ NPI 1659354736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses✔ Licensed in KS · 04-32737✔ Licensed in NY · 001577
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
3901 RAINBOW BOULEVARD, Kansas City, KS 66160
Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified36S281NY
Other04-32737KS · Medical License Number
Medicare UPING22189

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Oscar Insurance Company and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Fernando Merino 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 ID4486638996
PECOS Enrollment IDI20071129000513
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.

Areas of Expertise CMS Part B claims 6

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
435 services155 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.
171 services81 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
157 services150 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
51 services23 patients
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.
28 services22 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
14 services14 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Kansas Hospital

Acute Care Hospitals · Kansas City, KS
5/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number170040
Location4000 Cambridge StreetKansas City, KS 66160 · Wyandotte County
Emergency services Birthing friendly

Olathe Medical Center

Acute Care Hospitals · Olathe, KS
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number170049
Location20333 West 151st StreetOlathe, KS 66061 · Johnson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 66160 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
$122.41 typical visit price
range $53.00 – $161.67
Typical copayment $30.60 (range $13.25 – $40.41)
Most-billed visit code 99204
Established Patient
$94.12 typical visit price
range $16.88 – $132.11
Typical copayment $23.53 (range $4.22 – $33.02)
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.

91.89/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality75.17
Promoting Interoperability100
Improvement Activities40

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.

STEPHEN C WALLER M.D.
Internal Medicine (Infectious Disease)
3901 RAINBOW BOULEVARD, 6067 DELP, MAIL STOP 1028
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6035
DANA J HAWKINSON M.D.
Internal Medicine (Infectious Disease)
3901 RAINBOW BOULEVARD, 6067 DELP, MAILSTOP 1028
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6035
DR. ALBERT J EID M.D.
Internal Medicine (Infectious Disease)
3901 RAINBOW BOULEVARD, 6067 DELP, MAIL STOP 1028
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6035
UNIVERSITY OF KANSAS MEDICAL CENTER
General Acute Care Hospital
3901 RAINBOW BOULEVARD, MAIL STOP 3002
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6074
DR. LINDSEY DANIELLE JENKINS PH.D.
Psychologist (Rehabilitation)
3901 RAINBOW BOULEVARD
KANSAS CITY, KS 66160
Wyandotte County (316) 706-9374
JAQUELINE YANG
Student in an Organized Health Care Education/Training Program
3901 RAINBOW BOULEVARD
OLATHE, KS 66160
Wyandotte County (913) 588-5000
JOHN M MILES M.D.
Internal Medicine (Endocrinology, Diabetes & Metabolism)
3901 RAINBOW BOULEVARD
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6022
DANIEL R HINTHORN M.D.
Internal Medicine (Infectious Disease)
3901 RAINBOW BOULEVARD, 6067 DELP, MAIL STOP 1028
KANSAS CITY, KS 66160
Wyandotte County (913) 588-6035

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 Fernando Merino's NPI number?

The NPI number for Fernando Merino is 1659354736. It was assigned to this individual provider in the NPPES registry on November 22, 2005.

Where is Fernando Merino located?

Fernando Merino practices at 3901 Rainbow Boulevard 6067 Delp, Mail Stop 1028, Kansas City, KS 66160. The listed phone number is (913) 588-6035.

What is Fernando Merino's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Fernando Merino enrolled in Medicare?

Yes. Fernando Merino 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.

What insurance does Fernando Merino accept?

Health plans from Blue Cross and Blue Shield of Kansas City, Blue Cross and Blue Shield of Kansas, Inc., Oscar Insurance Company and UnitedHealthcare list Fernando Merino 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 Fernando Merino affiliated with any hospitals?

According to CMS data, Fernando Merino is affiliated with University Of Kansas Hospital and Olathe Medical Center.

When was this NPI record last updated?

The NPPES record for Fernando Merino was last updated on August 21, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.