Carlos Del Rosario Mesa, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

ACN707 Issued in FL

Practice address

431 W Oak St
Kissimmee, FL 34741

Phone

(407) 750-6980

Fax

(888) 972-1752

NPI assigned

May 5, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

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

Specialty

General Practice

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Vip Wellness Center LLCGroup PAC ID 9234500653, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/AEBFCA

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.

• Vip Wellness Center LLC

  • Family Medicine Physician
  • Kissimmee, FL
  • NPI 1881357580
  Medicare reassignment Care Compare group
• Bannel Associates LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kissimmee, FL
  • NPI 1215623665
  Medicare reassignment NPD
• Vip Family Practice LLC

  • Family Medicine Physician
  • Kissimmee, FL
  • NPI 1669725552
  Medicare reassignment NPD
• De Novo Wellness & Mental Health LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Kissimmee, FL
  • NPI 1669084018
  NPD (past)
• Medical Home Alliance LLC

  • Non-Pharmacy Dispensing Site
  • Winter Haven, FL
  • NPI 1033648233
  NPD (past)

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

{
    "created_epoch": "1430784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1215314737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6675 WESTWOOD BLVD",
            "address_2": "STE 475",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328216027",
            "telephone_number": "407-845-0384",
            "fax_number": "888-972-1752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "431 W OAK ST",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "34741",
            "telephone_number": "407-750-6980",
            "fax_number": "888-972-1752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEL ROSARIO MESA",
        "first_name": "CARLOS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-05",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "PR",
            "license": "13551-I",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ACN707",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristian R Del Carpio Tenorio, M.D.
• Nattasha Viana Del Puppo
• Rebeca Del Rio Arce, ARNP
• Nicole Anais Del Rio Barbosa
• Luis Senen Del Rio III, D.C.
• Mayna Del Toro Boffil, APRN
• Inelys Del Valle
• Johany M Del Valle
• Luzilenia Del Valle
• Sonia Ann Marie Formacion Dela Cruz, MD

• General Practice Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• General Practice Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.

Verify at the official NPI Registry.