Individual provider Active NPI

Evander Meneses, D.O.

  • Surgery Physician
  • Miami, FL
National Provider Identifier
1477094720
Registry record updated May 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
OS18557 Issued in FL
Practice address
21097 NE 27TH CT Ste 210
Miami, FL 33180-1202
Phone
(305) 936-2565
NPI assigned
Mar 19, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Surgery Physician 208600000X OS18557 FL Primary

Addresses

Primary practice location

21097 NE 27TH CT Ste 210
Miami, FL 33180-1202

Mailing address

11750 Bird Rd
Miami, FL 33175-3530
Phone (305) 223-2000

Other practice location 1

11750 Bird Rd
Miami, FL 33175-3530
Phone (305) 223-2000 ext. 6720

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
I20220615001447 FL Practitioner - General Surgery 8224417647 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Palm Beach General Surgery LLCGroup PAC ID 1456455021, 69 clinicians

Practice addresses (Care Compare)

21097 NE 27TH CT
Suite 210
Aventura, FL 33180-1202
Phone (305) 285-5092

Hospital & facility affiliations

  • HCA Florida Aventura Hospital Hospital, Aventura, FL, CCN 100131

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
90.66
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue17

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Palm Beach General Surgery LLC Surgery CurrentSince Jul 1, 2022 Accepting new patients
Palm Beach General Surgery LLC Surgery Past Accepting new patients

Locations

11750 SW 40th St
Miami, FL 33175
Phone (305) 227-5544

21097 NE 27th Ct
Ste 210
Miami, FL 33180
Phone (305) 328-9557

6705 SW 57th Ave
Ste 504
South Miami, FL 33143
Phone (305) 669-7331

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

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 1

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": "1489881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651708800000",
    "number": "1477094720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11750 BIRD RD",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331753530",
            "telephone_number": "305-223-2000",
            "fax_number": "305-227-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21097 NE 27TH CT STE 210",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331801202",
            "telephone_number": "305-936-2565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11750 Bird Rd",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331753530",
            "country_code": "US",
            "telephone_number": "305-223-2000 x6720",
            "fax_number": "305-227-5556",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENESES",
        "first_name": "EVANDER",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-19",
        "last_updated": "2022-05-05",
        "certification_date": "2022-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "OS18557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.