Individual provider Active NPI

Olga L. Mendoza, MD

  • General Practice Physician
  • Sweetwater, FL
National Provider Identifier
1306912878
Registry record updated Jan 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ACN1116 Issued in FL
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, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
500454EOtherMMM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20031104000159 PR Practitioner - General Practice 0941112387 Practice locations: Trujillo Alto, PR
I20190710002433 FL Practitioner - General Practice 0941112387 Reassigns benefits to 4 organizations

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
Care Mental Solutions IncGroup PAC ID 3577958438, 12 clinicians
SW Florida Regional Medical Center IncGroup PAC ID 3375767171, 2 clinicians
Project Access Foundation IncGroup PAC ID 6204825433, 10 clinicians
Family Health Community IncGroup PAC ID 3577964956, 12 clinicians

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 100Reported as group
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

OrganizationSpecialtyStatusNew patients
My Florida Case Management Services, L.L.C CurrentSince Aug 10, 2021 Accepting new patients
SW Florida Regional Medical Center Inc CurrentSince Dec 1, 2018 Accepting new patients
Project Access Foundation Inc General Practice CurrentSince Nov 3, 2019 Accepting new patients
VKJ Associates Corp CurrentSince Mar 5, 2023 Accepting new patients
Family Health Community Inc General Practice CurrentSince Aug 14, 2023 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

  • FHIR API: https://api.platform.athenahealth.com/9289/brand/1/csg/1/fhir/r4
  • Direct secure messaging: olga.mendoza.1@18144.direct.athenahealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.