Individual provider Active NPI

Antonio Mesa, D.O.

  • Interventional Pain Medicine Physician
  • Miami, FL
National Provider Identifier
1093717167
Registry record updated Aug 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
OS8711 Issued in FL
Practice address
3911 SW 67TH Ave
Miami, FL 33155-3710
Phone
(305) 670-7650
Fax
(855) 999-9207
NPI assigned
Aug 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X OS8711 FL
Pain Medicine (Psychiatry & Neurology) Physician 2084P2900X OS8711 FL
Interventional Pain Medicine Physician 208VP0014X OS8711 FL Primary

Addresses

Primary practice location

3911 SW 67TH Ave
Miami, FL 33155-3710

Mailing address

9960 NW 116TH Way
Suite 13
Medley, FL 33178-1167
Phone (786) 924-1311

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address antonio.mesa@fcn.eclinicaldirectplus.com

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
I20040831000071 FL Practitioner - Interventional Pain ManagementPractitioner - General PracticePractitioner - AnesthesiologyPractitioner - Osteopathic Manipulative MedicinePractitioner - NeurologyPractitioner - Pain Management 6608841291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Anesthesiology, Neurology, Osteopathic Manipulative Medicine, Pain Management
Education
Kansas City Medical College, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians
Neuroscience Consultants LLPGroup PAC ID 8729040670, 109 clinicians

Practice addresses (Care Compare)

13645 Biscayne Blvd
North Miami Beach, FL 33181-1617
Phone (305) 949-2700

3911 SW 67TH Ave
Miami, FL 33155-3710
Phone (305) 670-7650

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Neuroscience Consultants LLP Neurology CurrentSince Dec 1, 2007 Accepting new patients
Specialty Physician Services. LLC Interventional Pain Medicine PastSince Oct 1, 2020 Accepting new patients
Interventional Neurology Neurology Past Accepting new patients

Locations

9960 NW 116th Way
Ste 13
Medley, FL 33178

3911 SW 67th Ave
Miami, FL 33155
Phone (305) 670-7650

9150 SW 87th Ave
Ste 200
Miami, FL 33176
Phone (305) 595-6855

8940 SW 88th St
Ste 802E
Miami, FL 33176
Phone (305) 595-4041

8720 N Kendall Dr
Ste 212
Miami, FL 33176
Phone (305) 670-4343

Organizations & group practices 3

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.

Hospital & facility affiliations 4

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": "1123632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692316800000",
    "number": "1093717167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9960 NW 116TH WAY",
            "address_2": "SUITE 13",
            "city": "MEDLEY",
            "state": "FL",
            "postal_code": "331781167",
            "telephone_number": "786-924-1311",
            "fax_number": "786-924-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3911 SW 67TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331553710",
            "telephone_number": "305-670-7650",
            "fax_number": "855-999-9207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESA",
        "first_name": "ANTONIO",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-10",
        "last_updated": "2023-08-18",
        "certification_date": "2023-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "OS8711",
            "primary": false
        },
        {
            "code": "2084P2900X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Pain Medicine",
            "state": "FL",
            "license": "OS8711",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "OS8711",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "antonio.mesa@fcn.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "8720 N Kendall Dr Ste 212",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331762198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.