Active NPI
Olga L. Mendoza, MD
- General Practice Physician
- Sweetwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1116
- Practice address
- 1470 NW 107TH Ave Ste M
Sweetwater, FL 33172-2735 - Phone
- (786) 238-7282
- Fax
- (833) 927-2568
- NPI assigned
- Nov 28, 2006
- Last updated
- Jan 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | ACN1116 | FL | Primary |
| General Practice Physician | 208D00000X | 14862 | PR |
Addresses
Primary practice location
1470 NW 107TH Ave Ste M
Sweetwater, FL 33172-2735
Mailing address
1470 NW 107TH Ave Ste M
Sweetwater, FL 33172-2735
Phone (786) 238-7282
Other practice location 1
5580 19th Count SW Unit 2
Naples, FL 34116
Phone (786) 238-7282
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500454E | Other | MMM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PR, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
11780 SW 89TH St
Miami, FL 33186-2181
1851 N Krome Ave
Homestead, FL 33030-3237
Phone (786) 238-7282
5580 19TH CT SW
Suite 2
Naples, FL 34116-5577
Phone (239) 304-2471
8000 Biscayne Blvd
Miami, FL 33138-4621
Phone (305) 759-4778
8725 NW 18TH Ter
Suite 206
Doral, FL 33172-2629
Phone (786) 451-8700
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 92.43 of 100
- Quality
- 85.47
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 55.96
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| My Florida Case Management Services, L.L.C | Current | Accepting new patients | |
| SW Florida Regional Medical Center Inc | Current | Accepting new patients | |
| Project Access Foundation Inc | General Practice | Current | Accepting new patients |
| VKJ Associates Corp | Current | Accepting new patients | |
| Family Health Community Inc | General Practice | Current | Accepting new patients |
Locations
8725 NW 18th Ter
Ste 206
Doral, FL 33172
Phone (786) 451-8700
1435 W 49th Pl
Ste 503
Hialeah, FL 33012
Phone (305) 284-7666
1851 N Krome Ave
Homestead, FL 33030
Phone (305) 246-0000
8000 Biscayne Blvd
Miami, FL 33138
Phone (305) 759-4778
5580 19th Ct SW
Ste 2
Naples, FL 34116
Phone (239) 304-2471
7000 SW 62nd Ave
Ste 300
South Miami, FL 33143
Phone (305) 284-7666
1470 NW 107th Ave
Ste M
Sweetwater, FL 33172
Phone (786) 238-7282
Interoperability endpoints
- https://api.platform.athenahealth.com/9289/brand/1/csg/1/fhir/r4
- olga.mendoza.1@18144.direct.athenahealth.com
- olga.mendoza.1@9289.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Community/Behavioral Health Agency
- Doral, FL
- NPI 1851994628
General Practice
-
dba My Florida Medical Center
- Family Medicine Physician
- Homestead, FL
- NPI 1154914661
-
- Physical Therapy Clinic/Center
- Naples, FL
- NPI 1174800924
-
- Community/Behavioral Health Agency
- Miami, FL
- NPI 1306456868
-
- Clinic/Center
- Naples, FL
- NPI 1447959028
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Sweetwater, FL
- NPI 1952444853
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164672000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641772800000",
"number": "1306912878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1470 NW 107TH AVE STE M",
"city": "SWEETWATER",
"state": "FL",
"postal_code": "331722735",
"telephone_number": "786-238-7282",
"fax_number": "833-927-2568"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1470 NW 107TH AVE STE M",
"city": "SWEETWATER",
"state": "FL",
"postal_code": "331722735",
"telephone_number": "786-238-7282",
"fax_number": "833-927-2568"
}
],
"practiceLocations": [
{
"address_1": "5580 19th Count SW Unit 2",
"address_purpose": "LOCATION",
"city": "Naples",
"state": "FL",
"postal_code": "34116",
"country_code": "US",
"telephone_number": "786-238-7282",
"fax_number": "833-927-2568",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDOZA",
"first_name": "OLGA",
"middle_name": "L.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-28",
"last_updated": "2022-01-10",
"certification_date": "2022-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN1116",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "14862",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MMM",
"identifier": "500454E",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sweetwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2022; 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.