Individual provider Active NPI

Victor J Mariano Mejia Sr., M.D.

  • Internal Medicine Physician
  • Atlantis, FL
National Provider Identifier
1174792899
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME117155 Issued in FL
Practice address
5301 S Congress Ave
Atlantis, FL 33462
Phone
(787) 415-8405
NPI assigned
Feb 27, 2008
Last updated
Jun 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 17035 PR
Internal Medicine Physician 207R00000X ME117155 FL Primary

Addresses

Primary practice location

5301 S Congress Ave
Atlantis, FL 33462

Mailing address

16388 Pantheon Pass
Delray Beach, FL 33446-2317
Phone (787) 415-8405

Other practice location 1

Calle Jose Julian Acosta
#48-B
Vega Baja, PR 00693-0000
Phone (787) 858-0434

Other identifiers 2

IdentifierTypeStateIssuer
ME117155OtherFLLIC MD
17035OtherPRLIC MD

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
I20140115000838 FL Practitioner - Internal Medicine 4981856614 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Hospital Medicine Services, LLCGroup PAC ID 7810129640, 263 clinicians
HHA Associates LLCGroup PAC ID 2961839758, 125 clinicians

Practice addresses (Care Compare)

5352 Linton Blvd
Delray Beach, FL 33484-6514
Phone (561) 498-4440

8201 W Broward Blvd
Plantation, FL 33324-2701
Phone (954) 476-3911

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
ME117155FLMDInternal Medicine Physician
17035PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Florida Hospitalists Inc CurrentSince Apr 1, 2020 Accepting new patients
West Palm Beach Physician Group Inc CurrentSince Jan 1, 2014 Accepting new patients
HHA Associates LLC CurrentSince Apr 14, 2020 Accepting new patients
Florida Hospital Medicine Services, LLC. CurrentSince Jan 1, 2023 Accepting new patients

Locations

800 Meadows Rd
Boca Raton, FL 33486
Phone (561) 395-7100

9655 Boynton Beach Blvd
Boynton Beach, FL 33472
Phone (561) 336-7000

3476 S University Dr
Davie, FL 33328
Phone (954) 475-4346

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

110 Front St
Ste 300
Jupiter, FL 33477
Phone (205) 246-5690

5301 S Congress Ave
Lantana, FL 33462
Phone (561) 548-3549

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

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

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

4960 SW 72nd Ave
Ste 301
Miami, FL 33155

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

8201 W Broward Blvd
Plantation, FL 33324
Phone (954) 476-3900

7201 N University Dr
Tamarac, FL 33321
Phone (954) 721-2200

2201 45th St
West Palm Beach, FL 33407
Phone (561) 842-6141

13001 State Road 80
Westlake, FL 33470
Phone (561) 793-3300

Organizations & group practices 4

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 7

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": "1204070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528761600000",
    "number": "1174792899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16388 PANTHEON PASS",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334462317",
            "telephone_number": "787-415-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5301 S CONGRESS AVE",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "33462",
            "telephone_number": "787-415-8405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Calle Jose Julian Acosta",
            "address_2": "#48-B",
            "address_purpose": "LOCATION",
            "city": "Vega Baja",
            "state": "PR",
            "postal_code": "006930000",
            "country_code": "US",
            "telephone_number": "787-858-0434",
            "fax_number": "787-858-0434",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MARIANO MEJIA",
        "first_name": "VICTOR",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "name_suffix": "Sr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-02-27",
        "last_updated": "2018-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "17035",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME117155",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC MD",
            "identifier": "ME117155",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC MD",
            "identifier": "17035",
            "state": "PR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.