Individual provider Active NPI

Jose Mena, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Miami, FL
National Provider Identifier
1144420753
Registry record updated Jan 28, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
ME 102021 Issued in FL
Practice address
1611 NW 12TH Ave
Suite L105 (D460)
Miami, FL 33136-1005
Phone
(305) 585-1320
Fax
(305) 585-1340
NPI assigned
Jul 21, 2007
Last updated
Jan 28, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME 102021 FL Primary

Addresses

Primary practice location

1611 NW 12TH Ave
Suite L105 (D460)
Miami, FL 33136-1005

Mailing address

1611 NW 12TH Ave
P. O. Box 016960 (D461)
Miami, FL 33136-1005
Phone (305) 585-1320

Other names 1

  • Jose R. Mena-Mercado Other name

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
I20090113000859 FL Practitioner - Physical Medicine and Rehabilitation 1355404682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of Puerto Rico School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baptist Health Medical Group Physicians LLCGroup PAC ID 3870696933, 661 clinicians
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians

Practice addresses (Care Compare)

13101 S Dixie Hwy
Suite 400
Pinecrest, FL 33156-6530
Phone (786) 467-5700

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.99 of 100Reported as apm
Quality
81.94
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 102021FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Physicians LLC CurrentSince Jun 1, 2015 Accepting new patients

Locations

8400 NW 53rd St
Ste F104
Miami, FL 33166
Phone (786) 595-9900

19955 NW 27th Ave
Ste 200
Miami Gardens, FL 33056
Phone (786) 595-1310

13101 S Dixie Hwy
Ste 400
Pinecrest, FL 33156
Phone (786) 467-5700

6200 Sunset Dr
Ste 604
South Miami, FL 33143
Phone (305) 853-9240

Interoperability endpoints

  • Direct secure messaging: jos31345@cerner.directbaptisthealth.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1184976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359331200000",
    "number": "1144420753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "P. O. BOX 016960 (D461)",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-1320",
            "fax_number": "305-585-1340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE",
            "address_2": "SUITE L105 (D460)",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-1320",
            "fax_number": "305-585-1340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENA",
        "first_name": "JOSE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-21",
        "last_updated": "2013-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME 102021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "MENA-MERCADO",
            "middle_name": "R.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.