Kaiwu Mondello, AP, DOM

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

4104 Issued in FL

Practice address

6550 N Wickham Rd Ste 7
Melbourne, FL 32940-2038

Phone

(941) 284-5993

Fax

(321) 242-7679

NPI assigned

Jan 3, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Meridian Wellness Center

  • Medical Specialty Clinic/Center
  • Melbourne, FL
  • NPI 1477207124
  NPD
• Acupuncture and Physical Therapy Specialists, Inc.

  • Physical Therapist
  • Orange City, FL
  • NPI 1720155997

  Acupuncturist

  NPD (past)
• Family Integrative Medicine of Orlando

  • Health Service Clinic/Center
  • Orlando, FL
  • NPI 1720572456
  NPD (past)

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643673600000",
    "number": "1356980692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6550 N WICKHAM RD",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402049",
            "telephone_number": "941-284-5993",
            "fax_number": "321-242-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6550 N WICKHAM RD STE 7",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329402038",
            "telephone_number": "941-284-5993",
            "fax_number": "321-242-7679"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1287 N Semoran Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328073530",
            "country_code": "US",
            "telephone_number": "407-751-2192 x4",
            "fax_number": "407-542-2243",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11301 S Orange Blossom Trl Ste A208",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328379292",
            "country_code": "US",
            "telephone_number": "407-751-2192 x4",
            "fax_number": "407-542-2243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MONDELLO",
        "first_name": "KAIWU",
        "name_prefix": "Dr.",
        "credential": "AP, DOM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2022-02-01",
        "certification_date": "2022-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "",
            "desc": "Acupuncturist",
            "state": "FL",
            "license": "4104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Molloy, M.D.
• Heather M Mommers
• Ahjanae Momperousse
• Thierry Momplaisir, MD
• Monarch Global Labs
• Melissa Montalvo
• Jasmine Montanez, APRN
• Katherine Montanez
• Alina Marie Montes, RDN, LDN
• Stephan Monteserin

• All providers in Melbourne, FL
• Acupuncturist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.