Active NPI
Edwin S. Menor, M.D.
- Surgery Physician
- The Villages, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- ME88439
- Practice address
- 1400 N US Highway 441
Suite 810
The Villages, FL 32159-8975 - Phone
- (352) 674-8700
- Fax
- (352) 674-8714
- NPI assigned
- Jun 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 13681 | NH | |
| Surgery Physician | 208600000X | 231399 | MA | |
| Surgery Physician | 208600000X | ME88439 | FL | Primary |
Addresses
Primary practice location
1400 N US Highway 441
Suite 810
The Villages, FL 32159-8975
Mailing address
1020 Lake Sumter LNDG
The Villages, FL 32162-2699
Phone (352) 674-8700
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 270045000 | Medicaid | FL |
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
- University of Massachusetts Medical School, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
13901 Bruce B Downs Blvd
Tampa, FL 33613-3905
Phone (813) 615-7260
2700 Healing Way
Wesley Chapel, FL 33543-5453
8550 NE 138TH LN
Suite 401
Lady Lake, FL 32159-8957
Phone (352) 674-4136
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair (minimally invasive) | 38 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME88439 | FL | MD | Surgery Physician |
| 13681 | NH | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Hospital Physician Group Inc | Surgery | Current | Accepting new patients |
| Adventhealth Primary Care Network Inc | Past | Accepting new patients | |
| Steward Medical Group, Inc | Past | Accepting new patients | |
| Palm Beach Surgical Associates | Surgery | Past | Accepting new patients |
| Merrimack Valley Health Care Group | Past | Accepting new patients |
Locations
8550 NE 138th Ln
Bldg 400
Lady Lake, FL 32159
Phone (352) 674-4102
3949 SW College Rd
Ste 100
Ocala, FL 34474
Phone (352) 401-8800
13795 SW 36th Avenue Rd
Ste 3
Ocala, FL 34473
Phone (786) 343-8497
13901 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 615-7260
2700 Healing Way
Ste 310
Wesley Chapel, FL 33543
Phone (813) 779-1209
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- emenor72921@adventhealth.direct-ci.com
Organizations & group practices 5
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.
-
dba AdventHealth Medical Group
- Family Medicine Physician
- Tampa, FL
- NPI 1174955256
Surgery
-
- Family Medicine Physician
- Altamonte Springs, FL
- NPI 1093493637
-
- Surgery Physician
- Atlantis, FL
- NPI 1902930795
-
- Hospitalist Physician
- Haverhill, MA
- NPI 1679679989
-
- Specialist
- Brighton, MA
- NPI 1356654495
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Centerwell Home Health
- Home Health Agency
- Ocala, FL
- NPI 1841229515
-
dba Centerwell Home Health
- Home Health Agency
- The Villages, FL
- NPI 1134153836
-
dba Advent Health Ocala
- General Acute Care Hospital
- Ocala, FL
- NPI 1740772268
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150848000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423526400000",
"number": "1619913191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1020 LAKE SUMTER LNDG",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321622699",
"telephone_number": "352-674-8700",
"fax_number": "352-674-8714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 N US HIGHWAY 441",
"address_2": "SUITE 810",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321598975",
"telephone_number": "352-674-8700",
"fax_number": "352-674-8714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENOR",
"first_name": "EDWIN",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-21",
"last_updated": "2015-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NH",
"license": "13681",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "231399",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME88439",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "270045000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in The Villages, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2015; 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.