Individual provider Active NPI

David J Mond, MD

  • Vascular & Interventional Radiology Physician
  • Miami, FL
National Provider Identifier
1356359764
Registry record updated Apr 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
G9880 Issued in FL
Practice address
1190 NW 95TH St
Suite 301
Miami, FL 33150-2063
Phone
(305) 904-3490
Fax
(305) 535-0931
NPI assigned
Aug 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X G9880 FL Primary

Addresses

Primary practice location

1190 NW 95TH St
Suite 301
Miami, FL 33150-2063

Mailing address

1130 Ten Rod Rd
D201
North Kingstown, RI 02852-4161
Phone (401) 295-8655

Other identifiers 1

IdentifierTypeStateIssuer
379593400MedicaidFL

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20051101001134 FL Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 1052338803 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Albert Einstein College of Medicine of Yeshiva University, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1190 NW 95TH St
Suite 301
Miami, FL 33150-2066
Phone (305) 904-3490

Hospital & facility affiliations

  • North Shore Medical Center Hospital, Miami, FL, CCN 100029

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G9880FLMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David J. Mond, MD, PA Vascular & Interventional Radiology CurrentSince Jun 1, 2005 Accepting new patients
Mercy Medical Development Inc Vascular & Interventional Radiology Past Accepting new patients

Locations

1190 NW 95th St
Ste 301
Miami, FL 33150
Phone (305) 815-0693

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

1130 Ten Rod Rd
Ste D201
North Kingstown, RI 02852
Phone (401) 295-3132

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Steward Florida Medical Center - a Campus of North ShoreLauderdale Lakes, FL, CCN 10002900 Hospital Corporate Director Jul 14, 2018

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 2

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": "1154563200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209081600000",
    "number": "1356359764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 TEN ROD RD",
            "address_2": "D201",
            "city": "NORTH KINGSTOWN",
            "state": "RI",
            "postal_code": "028524161",
            "telephone_number": "401-295-8655",
            "fax_number": "401-295-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 NW 95TH ST",
            "address_2": "SUITE 301",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331502063",
            "telephone_number": "305-904-3490",
            "fax_number": "305-535-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOND",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-03",
        "last_updated": "2008-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "G9880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "379593400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.