Individual provider Active NPI

Alan D Mendelsohn, M.D.

  • Ophthalmology Physician
  • Hollywood, FL
National Provider Identifier
1053308460
Registry record updated Jan 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME0047764 Issued in FL
Practice address
4651 Sheridan St
Suite 100
Hollywood, FL 33021-3457
Phone
(954) 894-1500
Fax
(954) 894-1526
NPI assigned
Sep 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME0047764 FL Primary

Addresses

Primary practice location

4651 Sheridan St
Suite 100
Hollywood, FL 33021-3457

Mailing address

4651 Sheridan St
Suite 100
Hollywood, FL 33021-3457
Phone (954) 894-1500

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061222000151 FL Practitioner - Ophthalmology 6002816055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Northwestern University Feinberg Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eye Surgeon and Consultants PAGroup PAC ID 6507866449, 3 clinicians

Practice addresses (Care Compare)

4651 Sheridan St
Suite 100
Hollywood, FL 33021-3459
Phone (954) 894-1500

Merit-based Incentive Payment System (MIPS)

Final score
99.45 of 100Reported as group
Quality
98.9
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery63

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0047764FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eye Surgeon & Consultants PA Ophthalmology CurrentSince Dec 10, 2020 Accepting new patients

Locations

4651 Sheridan St
Ste 100
Hollywood, FL 33021
Phone (954) 894-1500

Interoperability endpoints

  • Direct secure messaging: amendelsohnmd@eyesurgeonsandconsultants.direct.eyemdemr.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1294358400000",
    "number": "1053308460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 SHERIDAN ST",
            "address_2": "SUITE 100",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213457",
            "telephone_number": "954-894-1500",
            "fax_number": "954-894-1526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 SHERIDAN ST",
            "address_2": "SUITE 100",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213457",
            "telephone_number": "954-894-1500",
            "fax_number": "954-894-1526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELSOHN",
        "first_name": "ALAN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2011-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME0047764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.