Individual provider Active NPI

Luis Javier Mesa, MD

  • Specialist
  • Hallandale Beach, FL
National Provider Identifier
1649292707
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
ME90288 Issued in FL
Practice address
1250 E Hallandale Beach Blvd Ste 205a
Hallandale Beach, FL 33009-4634
Phone
(954) 544-5979
Fax
(954) 404-7296
NPI assigned
Jul 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME90288 FL Primary

Addresses

Primary practice location

1250 E Hallandale Beach Blvd Ste 205a
Hallandale Beach, FL 33009-4634

Mailing address

1250 E Hallandale Beach Blvd Ste 205a
Hallandale Beach, FL 33009-4634
Phone (954) 544-5979

Other identifiers 1

IdentifierTypeStateIssuer
274475900MedicaidFL

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
I20221201000953 FL Practitioner - Internal Medicine 4587638937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1250 E Hallandale Beach Blvd
205A
Hallandale Beach, FL 33009-4634
Phone (954) 544-5979

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0090288MOMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Luis Mesa MD PA Specialist Current Accepting new patients
Luis J Mesa MD PA CurrentSince Nov 1, 2022 Accepting new patients
Romaker and Associates, PC Past Accepting new patients

Locations

1250 E Hallandale Beach Blvd
Ste 205A
Hallandale Beach, FL 33009

1250 E Hallandale Beach Blvd
#205A
Hallandale Beach, FL 33009
Phone (305) 318-7056

21110 Biscayne Blvd
Ste 405
Miami, FL 33180
Phone (305) 937-4400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DGGFDD/Endpoint/DGGFDD

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1153699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1649292707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 E HALLANDALE BEACH BLVD STE 205A",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094634",
            "telephone_number": "954-544-5979",
            "fax_number": "954-404-7296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 E HALLANDALE BEACH BLVD STE 205A",
            "city": "HALLANDALE BEACH",
            "state": "FL",
            "postal_code": "330094634",
            "telephone_number": "954-544-5979",
            "fax_number": "954-404-7296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MESA",
        "first_name": "LUIS",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-24",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME90288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "274475900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hallandale Beach, FL

Sources for this page

Verify at the official NPI Registry.