KHADIJA MERCHANT
NPI 1841727294
Internal Medicine in Yardley, PA

Active since May 16, 2017PECOS EnrolledAccepts Medicare Assignment
407 FLORAL VALE BLVD, YARDLEY, PA 19067(215) 845-0735 Get Directions Write a Review

NPPES record last updated: June 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 12, 2024, Apr 22, 2021, Sep 21, 2020 and 1 more (4 updates tracked since 2017).

About Khadija Merchant NPPES

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

KHADIJA MERCHANT (NPI 1841727294) is an individual internal medicine provider in Yardley, Pennsylvania, licensed in Pennsylvania (MD483956) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS, is affiliated with Capital Health Medical Center - Hopewell, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1841727294
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameKHADIJA MERCHANT
Location Address407 FLORAL VALE BLVDYardley, PA 19067-5526
Mailing Address407 Floral Vale BlvdYardley, PA 19067-5526 · (215) 845-0735
Sole ProprietorYes
Medical School CMSOtherGraduated 2007
Enumeration DateMay 16, 2017
Last NPPES UpdateJune 12, 20244 updates tracked since enumeration
NPPES CertifiedJune 12, 2024
NPI 1841727294 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses Licensed in PA · MD483956 Licensed in NJ · 25MA10749100
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
407 FLORAL VALE BLVD, Yardley, PA 19067

Secondary Practice Locations 2

Location 1750 Brunswick AveTrenton, NJ 08638-4143 · Phone (609) 394-6031
Location 21 Capital WayPennington, NJ 08534-2520 · Phone (609) 303-4000

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted 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

Khadija Merchant 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 ID7618396649
PECOS Enrollment IDI20240626000179
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 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.

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.
60 services48 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.
14 services14 patients

Hospital Affiliations CMS Care Compare 3

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

Capital Health Medical Center - Hopewell

Acute Care Hospitals · Pennington, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310044
LocationOne Capital WayPennington, NJ 08534 · Mercer County
Emergency services Birthing friendly

Hospital Of Univ Of Pennsylvania

Acute Care Hospitals · Philadelphia, PA
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390111
Location34th & Spruce StsPhiladelphia, PA 19104 · Philadelphia County
Emergency services Birthing friendly

St Mary Medical Center

Acute Care Hospitals · Langhorne, PA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390258
LocationLanghorne-Newtown RdLanghorne, PA 19047 · Bucks County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 19067 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

Reported Quality Measures

Breast Cancer Screening
64%77 patients3/55-star benchmark: 93%
Cervical Cancer Screening
77%306 patients4/55-star benchmark: 98%
Controlling High Blood Pressure
60%154 patients3/55-star benchmark: 91%
Diabetes: Eye Exam
11%141 patients1/55-star benchmark: 100%
Diabetes: Hemoglobin A1c (HbA1c) Poor Control (>9%)
Lower rates are better for this measure.
31%141 patients4/55-star benchmark: 91%
Documentation of Current Medications in the Medical Record
89%818 patients4/55-star benchmark: 100%
Falls: Screening for Future Fall Risk
100%45 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
54%513 patients3/55-star benchmark: 98%
Preventive Care and Screening: Screening for Depression and Follow-Up Plan
91%487 patients4/55-star benchmark: 97%
Preventive Care and Screening: Screening for High Blood Pressure and Follow-Up Documented
47%476 patients4/55-star benchmark: 61%
Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention
Patients screened: 42% · 436 patients
39%436 patients
Provide Patients Electronic Access to Their Health Information
26%500 patients1/55-star benchmark: 100%
Statin Therapy for the Prevention and Treatment of Cardiovascular Disease
75%177 patients3/55-star benchmark: 91%
Use of High-Risk Medications in Older Adults
Lower rates are better for this measure.
Patients appropriateDiagnosis: 0% · 53 patients
Patients totalRate: 4% · 53 patients
4%53 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 8

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

Nurse Practitioner (Adult Health)
407 FLORAL VALE BLVD
YARDLEY, PA 19067
Obstetrics & Gynecology
407 FLORAL VALE BLVD
YARDLEY, PA 19067
Nurse Practitioner (Family)
407 FLORAL VALE BLVD
YARDLEY, PA 19067
Obstetrics & Gynecology
407 FLORAL VALE BLVD
YARDLEY, PA 19067
Family Medicine
407 FLORAL VALE BLVD
YARDLEY, PA 19067
Family Medicine
407 FLORAL VALE BLVD
YARDLEY, PA 19067
Obstetrics & Gynecology
407 FLORAL VALE BLVD
YARDLEY, PA 19067
Family Medicine
407 FLORAL VALE BLVD
YARDLEY, PA 19067

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 Khadija Merchant's NPI number?

The NPI number for Khadija Merchant is 1841727294. It was assigned to this individual provider in the NPPES registry on May 16, 2017.

Where is Khadija Merchant located?

Khadija Merchant practices at 407 Floral Vale Blvd, Yardley, PA 19067. The listed phone number is (215) 845-0735.

What is Khadija Merchant's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Khadija Merchant enrolled in Medicare?

Yes. Khadija 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.

What insurance does Khadija Merchant accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Khadija 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 Khadija Merchant affiliated with any hospitals?

According to CMS data, Khadija Merchant is affiliated with Capital Health Medical Center - Hopewell, Hospital Of Univ Of Pennsylvania and St Mary Medical Center.

When was this NPI record last updated?

The NPPES record for Khadija Merchant was last updated on June 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.