Jerson Munoz Mendoza, MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

E-11286 Issued in AR

Practice address

3343 Springhill Dr Ste 1035
North Little Rock, AR 72117-2930

Phone

(501) 202-4345

NPI assigned

Jun 22, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

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

Cardiovascular Disease (Cardiology)

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Baptist HealthGroup PAC ID 0648177949, shared by 41 NPIs, 106 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036
• Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
• Baptist Health Medical Center-Drew County Hospital, Monticello, AR, CCN 040051
• Baptist Health Medical Center-Stuttgart Hospital, Stuttgart, AR, CCN 040072
• Dewitt Hospital & Nursing Home, Inc Hospital, De Witt, AR, CCN 040783

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jmendoza239546@direct.baptist-healthar.org

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.

• Baptist Health

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1316210875
  Medicare reassignment NPD
• Baptist Health

  • Cardiovascular Disease Physician
  • Little Rock, AR
  • NPI 1578593067
  Medicare reassignment NPD
• Conway Community Services

  • Diagnostic Radiology Physician
  • Conway, AR
  • NPI 1275084188
  Medicare reassignment NPD
• Baptist Health

  • Multi-Specialty Clinic/Center
  • Heber Springs, AR
  • NPI 1932081221
  NPD
• Conway Community Services

  • Rehabilitation Hospital Unit
  • Conway, AR
  • NPI 1790147106
  NPD

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

• Baptist Health

  • General Acute Care Hospital
  • Little Rock, AR
  • NPI 1043240682
  Care Compare affiliation
• Baptist Health

  • General Acute Care Hospital
  • North Little Rock, AR
  • NPI 1497790042
  Care Compare affiliation
• Baptist Health

  • General Acute Care Hospital
  • Monticello, AR
  • NPI 1962283192
  Care Compare affiliation
• Dewitt Hospital & Nursing Home, Inc.

  • Rural Acute Care Hospital
  • De Witt, AR
  • NPI 1972586238
  Care Compare affiliation

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522713600000",
    "number": "1497041982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 WAYNE AVE",
            "address_2": "6H",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "10467",
            "telephone_number": "650-483-5241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3343 SPRINGHILL DR STE 1035",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172930",
            "telephone_number": "501-202-4345"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1611 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361005",
            "country_code": "US",
            "telephone_number": "305-585-5215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9501 Baptist Health Dr Ste 600",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722056231",
            "country_code": "US",
            "telephone_number": "501-202-4345",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "111 E 210th St",
            "address_purpose": "LOCATION",
            "city": "Bronx",
            "state": "NY",
            "postal_code": "104672401",
            "country_code": "US",
            "telephone_number": "718-920-2057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MUNOZ MENDOZA",
        "first_name": "JERSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2018-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "TRN16540",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "AR",
            "license": "E-11286",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MRI Central Little Rock Inc
• Megan N Mueller, M.D.
• Ruqaya B Mujahid
• Deepika Krishna Mukkavilli
• Christina Muniz-Boyd, MHPP
• Muhammad Abdullah Murad
• Arielle Murdock, LMSW
• Kelsey Marie Murdock, OTR/L
• Brianna Lizbeth Murillo
• Kathleen F. Murphy

• Interventional Cardiology Physician in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Interventional Cardiology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2018; 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.