Individual provider Active NPI

David J Mendelblatt, MD

  • Ophthalmology Physician
  • St Petersburg, FL
National Provider Identifier
1215964697
Registry record updated Apr 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
ME79536 Issued in FL
Practice address
600 6TH St S
St Petersburg, FL 33701-4813
Phone
(727) 822-6763
Fax
(727) 821-0649
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X ME79536 FL Primary

Addresses

Primary practice location

600 6TH St S
St Petersburg, FL 33701-4813

Mailing address

600 6TH St S
St Petersburg, FL 33701-4813
Phone (727) 822-6763

Other identifiers 2

IdentifierTypeStateIssuer
266967600MedicaidFL
K4565OtherFLMEDICARE GROUP

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
I20040326000557 FL Practitioner - Ophthalmology 6204728090 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of South Florida College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1200 7TH Ave N
St Anthonys Hospital
St Petersburg, FL 33705-1300
Phone (727) 825-1100

600 6TH S St
Saint Petersburg, FL 33701-4813

600 6TH St S
St Petersburg, FL 33701-4813
Phone (727) 822-6763

600 St S
St Petersburg, FL 33701-4813

Dmendelb Yahoo Com
600 6 St. South
St. Petersburg, FL 33701-4813

Hospital & facility affiliations

  • St Anthonys Hospital Hospital, Saint Petersburg, FL, CCN 100067
  • Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032

Merit-based Incentive Payment System (MIPS)

Final score
71 of 100Reported as individual
Quality
42
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery197

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME79536FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health, Inc. Current Accepting new patients

Interoperability endpoints

  • Direct secure messaging: dmendelblatt189281@orlandohealth.medalliesdirect.net

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.

Hospital & facility affiliations 2

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209427200000",
    "number": "1215964697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014813",
            "telephone_number": "727-822-6763",
            "fax_number": "727-821-0649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 6TH ST S",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337014813",
            "telephone_number": "727-822-6763",
            "fax_number": "727-821-0649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELBLATT",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2008-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "ME79536",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266967600",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "K4565",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.