Anselmo M Mendive, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME56412 Issued in FL

Practice address

4601 NW 199TH St
Suite E
Miami Gardens, FL 33055-1508

Phone

(305) 801-7030

Fax

(305) 274-4032

NPI assigned

Mar 19, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Specialty

Family PracticeAlso: General Practice

Education

Other, 1970

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Omni Home Care Agency Inc Home health agency, Miami, FL, CCN 109497

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Anselmo Manuel Mendive, MD. PA.

  • Family Medicine Physician
  • Miami Gardens, FL
  • NPI 1619011228
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Omni Home Care Agency Inc

  • Home Health Agency
  • Miami, FL
  • NPI 1740317049
  Care Compare affiliation

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206316800000",
    "number": "1427229384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 NW 199TH ST",
            "address_2": "SUITE E",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330551508",
            "telephone_number": "305-801-7030",
            "fax_number": "305-274-4032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4601 NW 199TH ST",
            "address_2": "SUITE E",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330551508",
            "telephone_number": "305-801-7030",
            "fax_number": "305-274-4032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIVE",
        "first_name": "ANSELMO",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME56412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048992101",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048992100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alina Mendez
• Aylin Mendez
• Gerilynne Janette Mendez
• Lorely Esther Mendez, M.D.
• Oscar Ignacio Mendiondo Vigil
• Saira V Mendoza
• Miderkis Menedez
• Gerardo Menendez Paulin, SA-C
• Maria Elena Meneses Acosta
• Mental Health Counseling of South Florida LLC

• Family Medicine Physician in Miami Gardens, FL
• Providers in Miami Gardens, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.