Active NPI
Evander Meneses, D.O.
- Surgery Physician
- Miami, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- OS18557
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 90.66
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair (minimally invasive) | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Palm Beach General Surgery LLC | Surgery | Current | 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.
-
- Surgery Physician
- Loxahatchee, FL
- NPI 1235326760
-
- Surgery Physician
- Atlantis, FL
- NPI 1710040266
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aventura, FL
- NPI 1407801673
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; 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.