Individual provider Active NPI

Bianca Meneses, PA- C

  • Surgical Physician Assistant
  • Coral Springs, FL
National Provider Identifier
1366792905
Registry record updated Jun 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PAT9106729 Issued in FL
Practice address
3100 Coral Hills Dr
Suite 305
Coral Springs, FL 33065-4137
Phone
(954) 575-8056
Fax
(954) 575-2563
NPI assigned
Sep 11, 2012
Last updated
Jun 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PAT9106729 FL Primary

Addresses

Primary practice location

3100 Coral Hills Dr
Suite 305
Coral Springs, FL 33065-4137

Mailing address

3100 Coral Hills Dr
Suite 305
Coral Springs, FL 33065-4137
Phone (954) 575-8056

Other practice location 1

4850 W Oakland Park Blvd Ste 201
Lauderdale Lakes, FL 33313-7268
Phone (954) 735-3535

Other practice location 2

10794 Pines Blvd Ste 102-104
Pembroke Pines, FL 33026-3920
Phone (954) 735-3535

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121109000457 FL Practitioner - Physician Assistant 3971754482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Total Orthopaedic Care PAGroup PAC ID 6709852957, 16 clinicians

Practice addresses (Care Compare)

4850 W Oakland Park BL
Suite 201
Lauderdale Lakes, FL 33313-7268
Phone (954) 735-3535

4850 W Oakland Park Blvd
Suite 201
Lauderdale, FL 33313-7268

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts, Physician Assistant

State licenses

LicenseStateTypeSpecialty
PAT9106729FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Total Orthopaedic Care, P.a. CurrentSince Aug 15, 2017 Accepting new patients

Locations

4850 W Oakland Park Blvd
Ste 201
Lauderdale Lakes, FL 33313
Phone (305) 735-3535

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1347321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717632000000",
    "number": "1366792905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 CORAL HILLS DR",
            "address_2": "SUITE 305",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654137",
            "telephone_number": "954-575-8056",
            "fax_number": "954-575-2563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 CORAL HILLS DR",
            "address_2": "SUITE 305",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330654137",
            "telephone_number": "954-575-8056",
            "fax_number": "954-575-2563"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4850 W Oakland Park Blvd Ste 201",
            "address_purpose": "LOCATION",
            "city": "Lauderdale Lakes",
            "state": "FL",
            "postal_code": "333137268",
            "country_code": "US",
            "telephone_number": "954-735-3535",
            "fax_number": "954-484-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10794 Pines Blvd Ste 102-104",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330263920",
            "country_code": "US",
            "telephone_number": "954-735-3535",
            "fax_number": "954-484-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENESES",
        "first_name": "BIANCA",
        "credential": "PA- C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-11",
        "last_updated": "2024-06-06",
        "certification_date": "2024-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PAT9106729",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Springs, FL

Sources for this page

Verify at the official NPI Registry.