Active NPI
Mark M Menendez, D.P.M.
- Podiatrist
- Lewes, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- E10000140
- Practice address
- 12100 Black Swan Dr Ste 201
Lewes, DE 19958-4991 - Phone
- (302) 644-3311
- Fax
- (302) 644-3300
- NPI assigned
- Jun 23, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 14
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.
-
- Physical Therapist
- Newark, DE
- NPI 1679458327
-
- Physical Therapist
- Millsboro, DE
- NPI 1083592349
-
- Orthopaedic Surgery Physician
- Middletown, DE
- NPI 1043918824
-
- Orthopaedic Surgery Physician
- Smyrna, DE
- NPI 1336356328
-
- Physical Therapist
- Middletown, DE
- NPI 1417832924
-
- Orthopaedic Surgery Physician
- Wilmington, DE
- NPI 1548330228
-
- Orthopaedic Surgery Physician
- Newark, DE
- NPI 1548691710
-
- Physical Therapist
- Dover, DE
- NPI 1639054141
-
- Physical Therapist
- Wilmington, DE
- NPI 1841175346
-
- Orthopaedic Surgery Physician
- Millsboro, DE
- NPI 1467228775
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Millsboro, DE
- NPI 1063513075
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Podiatric Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- First State Orthopaedics PA
Practice addresses (Care Compare)
12100 Black Swan Dr
Suite 201
Lewes, DE 19958-4988
Phone (302) 644-3311
Hospital & facility affiliations
- Beebe Hospital Home Health
- Beebe Medical Center
- Bayhealth Hospital, Sussex Campus
- Tidalhealth Nanticoke, Inc.
Merit-based Incentive Payment System (MIPS)
- Final score
- 97.8 of 100
- Quality
- 96
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 396 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1046 |
| Removal or shaving of skin growth | 424 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100823000462 | DE | Practitioner - Podiatry | 4880676543 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E10000140 | DE | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First State Orthopaedics PA | Current | Accepting new patients | |
| First State Orthopaedics PA | Podiatrist | Current | Accepting new patients |
| First State Orthopaedics, PA | Podiatrist | Past | Accepting new patients |
| First State Orthopaedics, PA | Past | Accepting new patients |
Locations
12100 Black Swan Dr
Ste 201
Lewes, DE 19958
4745 Ogletown Stanton Rd
Ste 238
Newark, DE 19713
211 Executive Dr
Ste 11
Newark, DE 19702
Phone (302) 793-1800
Interoperability endpoints
- mark.menendezdpm.p2@direct.fsoortho.nextgenshare.com
- mmenendez23094@beebehealth.direct-ci.com
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | E10000140 | DE | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
12100 Black Swan Dr Ste 201
Lewes, DE 19958-4991
Mailing address
211 Executive Dr Ste 11
Newark, DE 19702-3358
Phone (302) 731-2888
Other identifiers 3
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1000017150 | Medicaid | DE | |
| 0001026317 | Medicaid | DE | |
| 1184681488 | Other | COMMERCIAL |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 27, 2022.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664236800000",
"number": "1619903556",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "211 EXECUTIVE DR STE 11",
"city": "NEWARK",
"state": "DE",
"postal_code": "197023358",
"telephone_number": "302-731-2888",
"fax_number": "302-731-7049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12100 BLACK SWAN DR STE 201",
"city": "LEWES",
"state": "DE",
"postal_code": "199584991",
"telephone_number": "302-644-3311",
"fax_number": "302-644-3300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENENDEZ",
"first_name": "MARK",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-23",
"last_updated": "2022-09-27",
"certification_date": "2022-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "DE",
"license": "E10000140",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1000017150",
"state": "DE"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0001026317",
"state": "DE"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMERCIAL",
"identifier": "1184681488",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lewes, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.