NPIMap

Individual provider Active NPI

Cesar Emilio Mendoza, MD

  • Interventional Cardiology Physician
  • Miami, FL
National Provider Identifier
1275599953
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
ME88251 Issued in FL
Practice address
1801 NW 9TH Ave
Miami, FL 33136-1101
Phone
(786) 466-8456
Fax
(305) 573-6562
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME88251 FL
Interventional Cardiology Physician 207RI0011X ME88251 FL Primary

Addresses

Primary practice location

1801 NW 9TH Ave
Miami, FL 33136-1101

Mailing address

1801 NW 9TH Ave
Miami, FL 33136-1101
Phone (786) 466-8456

Other identifiers 3

IdentifierTypeStateIssuer
GD175ZOtherFLMEDICARE
0054760-00MedicaidFL
090480MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120622000521 FL Practitioner - Cardiovascular Disease (Cardiology) 2860404621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Public Health Trust of Miami Dade County FloridaGroup PAC ID 0244380434, 469 clinicians

Practice addresses (Care Compare)

1611 NW 12 Ave
Miami, FL 33136-1005
Phone (305) 585-1111

1801 NW 9TH Ave
FL 2
Miami, FL 33136-1101
Phone (786) 466-8490

Hospital & facility affiliations

  • Jackson Health System Hospital, Miami, FL, CCN 100022

Merit-based Incentive Payment System (MIPS)

Final score
91.01 of 100Reported as group
Quality
72.99
Promoting interoperability
82
Improvement activities
40
Cost
78.71

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting13
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME88251FLMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Public Health Trust of Miami Dade County Florida CurrentSince May 2, 2012 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince May 2, 2012 Accepting new patients
Privia Medical Group Arizona, LLC Family Medicine Past Accepting new patients
Hospital Development of West Phoenix, Inc. Cardiovascular Disease Past Accepting new patients
Hospital Development of West Phoenix Inc Cardiovascular Disease Past Accepting new patients
Public Health Trust of Miami Dade County Florida Family Medicine Past Accepting new patients
Public Health Trust of Dade County Florida Family Medicine Past Accepting new patients

Locations

1801 NW 9th Ave
Ste 209
Miami, FL 33136
Phone (786) 466-8490

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1801 NW 9th Ave
Miami, FL 33136
Phone (305) 355-5000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 7

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 23

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1275599953",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 NW 9TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361101",
            "telephone_number": "786-466-8456",
            "fax_number": "305-573-6562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 NW 9TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361101",
            "telephone_number": "786-466-8456",
            "fax_number": "305-573-6562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "CESAR",
        "middle_name": "EMILIO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME88251",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME88251",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "GD175Z",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0054760-00",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "090480",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.