Individual provider Active NPI

Carlos M Rodriguez Mendoza, MD

  • Internal Medicine Physician
  • Bradenton, FL
National Provider Identifier
1245225077
Registry record updated Feb 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME69006 Issued in FL
Practice address
315 75TH St W
Bradenton, FL 34209-3201
Phone
(941) 792-2211
Fax
(941) 794-6199
NPI assigned
Sep 19, 2005
Last updated
Feb 1, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME69006 FL Primary

Addresses

Primary practice location

315 75TH St W
Bradenton, FL 34209-3201

Mailing address

315 75TH St W
Bradenton, FL 34209-3201
Phone (941) 761-1998

Other identifiers 3

IdentifierTypeStateIssuer
27594OtherFLBCBS
110169971OtherFLRAIL ROAD MEDICARE
379304400MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carlos.rodriguez@hca4.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
I20100130000379 FL Practitioner - Internal Medicine 9032252010 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
West Florida Physician Network, LLCGroup PAC ID 1153476544, 49 clinicians

Practice addresses (Care Compare)

2010 59TH St W
Suite 2600
Bradenton, FL 34209-4671
Phone (941) 752-2025

315 75TH St W
Pinnacle Medical Group
Bradenton, FL 34209-3201
Phone (941) 761-1998

7005 Cortez Rd W
Bradenton, FL 34210-2509
Phone (941) 465-4800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.15 of 100Reported as individual
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME69006FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
West Florida Physician Network, LLC Internal Medicine CurrentSince Sep 1, 2011 Accepting new patients
Pinnacle Medical Group PA Internal Medicine Past Accepting new patients
Pinnacle Physician Network, LLC Past Accepting new patients

Locations

315 75th St W
Bradenton, FL 34209
Phone (941) 761-1616

4110 Manatee Ave W
Bradenton, FL 34205
Phone (941) 748-8383

7005 Cortez Rd W
Bradenton, FL 34210
Phone (941) 465-4800

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, 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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1245225077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315 75TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093201",
            "telephone_number": "941-761-1998",
            "fax_number": "941-794-6199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 75TH ST W",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342093201",
            "telephone_number": "941-792-2211",
            "fax_number": "941-794-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ MENDOZA",
        "first_name": "CARLOS",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME69006",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "27594",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "110169971",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379304400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carlos.rodriguez@hca4.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "315 75th St W",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342093201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.