Heriberto Menendez, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

35092986 Issued in OH

Practice address

3133 Jemima Ave
The Villages, FL 32163-2329

Phone

(352) 203-4935

NPI assigned

Aug 13, 2006

Last updated

Feb 12, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Dekalb Clinic Chartered

  • Internal Medicine Physician
  • Sycamore, IL
  • NPI 1518984228
  NPD (past)

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1255343398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3133 JEMIMA AVE",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632329",
            "telephone_number": "352-203-4935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3133 JEMIMA AVE",
            "city": "THE VILLAGES",
            "state": "FL",
            "postal_code": "321632329",
            "telephone_number": "352-203-4935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENENDEZ",
        "first_name": "HERIBERTO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-13",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "35092986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2949966",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clarissa L Mejia, PT
• Holden James Melerine, DC
• Frank James Melidona, DO
• Melinda Nemiroff Psychotherapy LLC
• Margarita Mendez, PT
• Rolando J Menendez, MD
• Edwin S. Menor, M.D.
• Timothy Merkiel
• James H Mersey, M.D.
• Caroline F Merveille, M.D.

• Pediatrics Physician in The Villages, FL
• Providers in The Villages, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.