Active NPI
Sergio A Mendoza Lattes, MD
- Orthopaedic Surgery Physician
- Durham, NC
National Provider Identifier
1255324372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- SP135
- Practice address
- 40 Duke Medicine Cir
Clinic 1B/1C
Durham, NC 27710-4000 - Phone
- (919) 684-8111
- NPI assigned
- Aug 24, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | SP135 | IA | Primary |
Addresses
Primary practice location
40 Duke Medicine Cir
Clinic 1B/1C
Durham, NC 27710-4000
Mailing address
PO Box 63362
Charlotte, NC 28263-3362
Phone (800) 782-6945
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41986 | Other | IA | WELLMARK BCBS |
| 0245662 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150128001286 | NC | Practitioner - Orthopedic Surgery | 1759423403 |
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 90.39 of 100
- Quality
- 77.7
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SP135 | IA | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421280000000",
"number": "1255324372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 63362",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282633362",
"telephone_number": "800-782-6945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 DUKE MEDICINE CIR",
"address_2": "CLINIC 1B/1C",
"city": "DURHAM",
"state": "NC",
"postal_code": "277104000",
"telephone_number": "919-684-8111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA LATTES",
"first_name": "SERGIO",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-24",
"last_updated": "2015-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "IA",
"license": "SP135",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "41986",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0245662",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; 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.