DR. ABBAS H MERCHANT DDS
NPI 1942327531
Dentist - General Practice in Carlsbad, CA

Active since March 26, 2007Opted out of Medicare · through Oct 6, 2027
2620 EL CAMINO REAL STE A, CARLSBAD, CA 92008(760) 994-4109(760) 720-9650 Get Directions Write a Review

NPPES record last updated: September 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Abbas H Merchant Dds NPPES

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

DR. ABBAS H MERCHANT DDS (NPI 1942327531) is an individual general practice provider in Carlsbad, California, licensed in California (110060) and active in the NPI registry since March 2007. He has opted out of Medicare through October 6, 2027.

NPPES Registry Identity

NPI1942327531
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. ABBAS H MERCHANTCredential: DDS
Location Address2620 EL CAMINO REAL STE ACarlsbad, CA 92008-1255
Mailing Address2620 El Camino Real Ste ACarlsbad, CA 92008-1255 · (760) 994-4109 · Fax (760) 720-9650
Fax(760) 720-9650
Sole ProprietorNo
Enumeration DateMarch 26, 2007
Last NPPES UpdateSeptember 16, 2024
NPPES CertifiedSeptember 16, 2024
NPI 1942327531 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 110060
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Also ListedDentistTaxonomy 122300000X · License 019021179 (IL)
2620 EL CAMINO REAL STE A, Carlsbad, CA 92008

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Abbas H Merchant Dds has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from October 6, 2015 through October 6, 2027.

Opt-Out Effective DateOctober 6, 2015
Opt-Out In Effect ThroughOctober 6, 2027Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92008 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 5

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

Dentist
2620 EL CAMINO REAL STE A
CARLSBAD, CA 92008
Dentist (General Practice)
2620 EL CAMINO REAL STE A
CARLSBAD, CA 92008
Dentist (General Practice)
2620 EL CAMINO REAL STE A
CARLSBAD, CA 92008
Dental Hygienist
2620 EL CAMINO REAL STE A
CARLSBAD, CA 92008
Dentist
2620 EL CAMINO REAL STE A
CARLSBAD, CA 92008

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 Abbas Merchant's NPI number?

The NPI number for Abbas Merchant is 1942327531. It was assigned to this individual provider in the NPPES registry on March 26, 2007.

Where is Abbas Merchant located?

Abbas Merchant practices at 2620 El Camino Real Ste A, Carlsbad, CA 92008. The listed phone number is (760) 994-4109.

What is Abbas Merchant's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Abbas Merchant enrolled in Medicare?

No. Abbas Merchant has opted out of Medicare through October 6, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

What insurance does Abbas Merchant accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 6 other insurers list Abbas 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.

When was this NPI record last updated?

The NPPES record for Abbas Merchant was last updated on September 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.