Active NPI
Juan Carlos Sierra Mendez Jr., MD
- General Practice Physician
- Orlando, FL
National Provider Identifier
1093545410
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1779
- Practice address
- 5249 Conway Rd
Orlando, FL 32812-2202 - Phone
- (407) 931-0444
- Fax
- (407) 962-4446
- NPI assigned
- Aug 2, 2024
- 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 |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ACN1779 | FL | Primary |
Addresses
Primary practice location
5249 Conway Rd
Orlando, FL 32812-2202
Mailing address
931 W Oak St Ste 103
Kissimmee, FL 34741-4973
Phone (407) 931-0444
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
- General Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5249 Conway Rd
Orlando, FL 32812-2202
Phone (407) 931-0444
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN1779 | FL | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Family Medical Inc | Single Specialty | Current | Accepting new patients |
| Tampa Family Health Centers Inc | Single Specialty | Past | Accepting new patients |
Locations
931 W Oak St
Ste 103
Kissimmee, FL 34741
Phone (407) 922-4839
5249 Conway Rd
Orlando, FL 32812
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Tampa, FL
- NPI 1356347413
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1765929600000",
"number": "1093545410",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "931 W OAK ST STE 103",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347414973",
"telephone_number": "407-931-0444",
"fax_number": "407-962-4446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5249 CONWAY RD",
"city": "ORLANDO",
"state": "FL",
"postal_code": "328122202",
"telephone_number": "407-931-0444",
"fax_number": "407-962-4446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIERRA MENDEZ",
"first_name": "JUAN",
"middle_name": "CARLOS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-02",
"last_updated": "2025-12-17",
"certification_date": "2025-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "General Practice",
"state": "FL",
"license": "ACN1779",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orlando, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; 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.