Organization Active NPI

Oscar Mendez MD PA

  • Family Medicine Physician
  • Lauderhill, FL
National Provider Identifier
1407048994
Registry record updated Jan 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OSCAR MENDEZ MD PA
Practice address
5950 W Oakland Park Blvd Ste 300
Lauderhill, FL 33313-1260
Phone
(954) 717-4066
Fax
(954) 717-4069
NPI assigned
Aug 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2025

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

Authorized official

Name
Oscar Mendez, MDNPI 1164520243
Title
President
Phone
(954) 717-4066

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5950 W Oakland Park Blvd Ste 300
Lauderhill, FL 33313-1260

Mailing address

5950 W Oakland Park Blvd Ste 300
Lauderhill, FL 33313-1260
Phone (954) 717-4066

Other identifiers 4

IdentifierTypeStateIssuer
279292300MedicaidFL
1574777OtherCOVENTRY HEALTH
103099OtherFREEDOM HEALTH
20107OtherEVOLUTIONS HEALTH CARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080404000235 FL Part B Supplier - Clinic/Group Practice 8820175680 Receives reassigned benefits from 12 practitioners
Practice locations: Lauderdale Lakes, FL; Lauderhill, FL; Margate, FL; Miramar, FL; Oakland Park, FL; Plantation, FL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
10D1086434Oscar Mendez MD PA5950 W Oakland Park Blvd Ste 300, Lauderhill, FL 33313Certificate of waiverJul 13, 2028
10D2242191Oscar Mendez MD, PA5950 W Oakland Park Blvd, Suite 300, Lauderhill, FL 33313Certificate of waiverNov 4, 2027

National Provider Directory

National Provider Directory

Locations

2951 NW 49th Ave
Ste 306
Lauderdale Lakes, FL 33313
Phone (954) 717-4066

5950 W Oakland Park Blvd
Ste 300
Lauderhill, FL 33313
Phone (954) 717-4066

5950 W Oakland Park Blvd
Lauderhill, FL 33313
Phone (954) 717-4066

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737504000000",
    "number": "1407048994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5950 W OAKLAND PARK BLVD STE 300",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333131260",
            "telephone_number": "954-717-4066",
            "fax_number": "954-717-4069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 W OAKLAND PARK BLVD STE 300",
            "city": "LAUDERHILL",
            "state": "FL",
            "postal_code": "333131260",
            "telephone_number": "954-717-4066",
            "fax_number": "954-717-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OSCAR MENDEZ MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-17",
        "last_updated": "2025-01-22",
        "certification_date": "2025-01-22",
        "status": "A",
        "authorized_official_last_name": "MENDEZ",
        "authorized_official_first_name": "OSCAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-717-4066",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "279292300",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTH",
            "identifier": "1574777",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM HEALTH",
            "identifier": "103099",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EVOLUTIONS HEALTH CARE",
            "identifier": "20107",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lauderhill, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.