Individual provider Active NPI

Victor Sergio Lopez de Mendoza, M.D.

  • Nephrology Physician
  • Miami, FL
National Provider Identifier
1073667770
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
105859 Issued in FL
Practice address
3661 S Miami Ave Ste 901
Miami, FL 33133-4214
Phone
(786) 717-8003
Fax
(786) 513-8535
NPI assigned
Jan 22, 2007
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 105859 FL Primary
Hospitalist Physician 208M00000X 105859 FL

Addresses

Primary practice location

3661 S Miami Ave Ste 901
Miami, FL 33133-4214

Mailing address

3661 S Miami Ave Ste 901
Miami, FL 33133-4214
Phone (786) 717-8003

Other identifiers 1

IdentifierTypeStateIssuer
105859OtherFLME

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
I20101005000335 FL Practitioner - NephrologyPractitioner - Internal Medicine 1355533720 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Comfort Care Dialysis Center LLCGroup PAC ID 7214303080, 3 clinicians
Kendall Comprehensive Kidney Care LLCGroup PAC ID 0345744272, shared by 2 NPIs, 2 clinicians
Complete Medical Management LLCGroup PAC ID 6305256678, 24 clinicians
Victor Lopez de Mendoza, MD PLLCGroup PAC ID 3274718226, 8 clinicians
First Docs PCGroup PAC ID 0547626871, 181 clinicians
Juan a Fernandez MD PAGroup PAC ID 2163422726, 5 clinicians

Practice addresses (Care Compare)

10550 NW 77TH CT
Suite 405
Hialeah Gardens, FL 33016-2073
Phone (305) 646-1092

13500 SW 88TH St
Suite 165
Miami, FL 33186-1550
Phone (305) 388-5222

2001 W 66TH St
Hialeah, FL 33016-1801
Phone (305) 823-5000

3661 S Miami Ave
Miami, FL 33133-4214
Phone (786) 717-8988

3663 S Miami Ave
Miami, FL 33133-4253
Phone (609) 585-1122

5040 NW 7TH St
Suite 370
Miami, FL 33126-3431
Phone (305) 648-1087

7031 SW 62 Ave
South Miami, FL 33143-4701
Phone (305) 284-7500

9415 Sunset Dr
Suite 151
Miami, FL 33173-5492

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
105859FLMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
QMC LLC Hospitalist CurrentSince Aug 12, 2024 Accepting new patients
Cogent Healthcare of Pensacola LLC CurrentSince Sep 1, 2022 Accepting new patients
Cogent Healthcare of Pensacola LLC Hospitalist Current Accepting new patients
First Docs PC Hospitalist CurrentSince Sep 26, 2024 Accepting new patients
Cogent Healthcare of Pensacola LLC CurrentSince Sep 1, 2022 Accepting new patients
Florida Hospital Medicine Services, LLC. Hospitalist CurrentSince Aug 18, 2018 Accepting new patients
Victor Lopez de Mendoza, MD PLLC Nephrology CurrentSince Mar 22, 2011 Accepting new patients
Complete Medical Management, LLC. Hospitalist CurrentSince Jan 1, 2021 Accepting new patients
Martin Luther King Renal Institute, LLC. PastSince Apr 7, 2015 Accepting new patients

Locations

3100 SW 37th Ave
Coral Gables, FL 33134
Phone (305) 441-6868

14550 Old St Augustine Rd
Jacksonville, FL 32258
Phone (904) 202-5010

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

1500 Lee Blvd
Lehigh Acres, FL 33936
Phone (239) 368-4410

1321 NW 14th St
Ste 603
Miami, FL 33125
Phone (305) 325-9548

1400 NW 12th Ave
Miami, FL 33136
Phone (305) 325-5416

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2601 SW 37th Ave
Ste 702
Miami, FL 33133
Phone (305) 445-1221

2801 NW 79th Ave
Miami, FL 33122
Phone (786) 466-1000

333 SE 2nd Ave
Ste 2000
Miami, FL 33131
Phone (201) 581-3411

3661 S Miami Ave
Ste 901
Miami, FL 33133
Phone (305) 856-5057

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

4960 SW 72nd Ave
Ste 303
Miami, FL 33155
Phone (305) 591-1606

5201 Blue Lagoon Dr
Fl 9
Miami, FL 33126
Phone (786) 334-1757

9415 Sunset Dr
Ste 151
Miami, FL 33173
Phone (305) 315-2707

955 NW 3rd St
Ste 110
Miami, FL 33128
Phone (305) 545-3090

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

830 Lakeside Cir
Pompano Beach, FL 33060
Phone (954) 247-5801

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

7031 SW 62nd Ave
South Miami, FL 33143
Phone (305) 284-7585

200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652

Interoperability endpoints

  • Direct secure messaging: wghvlopez@yourcarecommunity.org

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1073667770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE STE 901",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334214",
            "telephone_number": "786-717-8003",
            "fax_number": "786-513-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE STE 901",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334214",
            "telephone_number": "786-717-8003",
            "fax_number": "786-513-8535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ DE MENDOZA",
        "first_name": "VICTOR",
        "middle_name": "SERGIO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2023-03-07",
        "certification_date": "2020-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "105859",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "105859",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ME",
            "identifier": "105859",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.