Active NPI
Alejandro Mendoza, MD
- Anesthesiology Physician
- Fort Lauderdale, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME97438
- Practice address
- 3601 West Commercial Blvd Ste 5
Anesco North Broward LLC
Fort Lauderdale, FL 33309 - Phone
- (954) 485-5666
- Fax
- (954) 484-1651
- NPI assigned
- Jul 3, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME97438 | FL | Primary |
Addresses
Primary practice location
3601 West Commercial Blvd Ste 5
Anesco North Broward LLC
Fort Lauderdale, FL 33309
Mailing address
3601 West Commercial Blvd Ste 5
Anesco North Broward LLC
Fort Lauderdale, FL 33309
Phone (954) 485-5666
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1047481 | Medicaid | LA | |
| 009943198 | Medicaid | AL | |
| 277232900 | Medicaid | FL | |
| P00397043 | Other | GA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 S Andrews Ave
Fort Lauderdale, FL 33316-2510
Phone (954) 939-5000
Hospital & facility affiliations
- Broward Health Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME97438 | FL | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sheridan Healthcorp Inc | Anesthesiology | Current | Accepting new patients |
| Anesco North Broward LLC | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp, Inc. | Anesthesiology | Current | Accepting new patients |
| Sheridan Healthcorp Inc | Anesthesiology | Current | Accepting new patients |
Locations
201 E Sample Rd
Deerfield Beach, FL 33064
Phone (954) 786-6400
1600 S Andrews Ave
Ft Lauderdale, FL 33316
Phone (954) 355-4000
6333 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 861-0760
6401 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 776-8500
3601 W Commercial Blvd
Ste 5
Ft Lauderdale, FL 33309
Phone (954) 485-2002
3601 W Commercial Blvd
Ste 4
Ft Lauderdale, FL 33309
401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434
3000 Coral Hills Dr
Pompano Beach, FL 33065
Phone (954) 344-3000
1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Okeechobee, FL
- NPI 1629781711
-
- Anesthesiology Physician
- Ft Lauderdale, FL
- NPI 1699763862
-
- Anesthesiology Physician
- West Palm Beach, FL
- NPI 1437823812
-
- Anesthesiology Physician
- North Miami Beach, FL
- NPI 1578429460
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Lauderdale, FL
- NPI 1285662239
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151884800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413244800000",
"number": "1003846494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3601 WEST COMMERCIAL BLVD STE 5",
"address_2": "ANESCO NORTH BROWARD LLC",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33309",
"telephone_number": "954-485-5666",
"fax_number": "954-484-1651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3601 WEST COMMERCIAL BLVD STE 5",
"address_2": "ANESCO NORTH BROWARD LLC",
"city": "FORT LAUDERDALE",
"state": "FL",
"postal_code": "33309",
"telephone_number": "954-485-5666",
"fax_number": "954-484-1651"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "ALEJANDRO",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-03",
"last_updated": "2014-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME97438",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1047481",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009943198",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "277232900",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00397043",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fort Lauderdale, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.