Individual provider Active NPI

Luis E. Mendez, MD

  • Gynecologic Oncology Physician
  • Coral Gables, FL
National Provider Identifier
1730187287
Registry record updated Jun 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
ME0069610 Issued in FL
Practice address
5000 University Dr
Suite 3300
Coral Gables, FL 33146-2008
Phone
(305) 663-7001
Fax
(305) 663-7004
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecologic Oncology Physician 207VX0201X ME0069610 FL Primary

Addresses

Primary practice location

5000 University Dr
Suite 3300
Coral Gables, FL 33146-2008

Mailing address

5000 University Dr
Suite 3300
Coral Gables, FL 33146-2008
Phone (305) 663-7001

Other identifiers 13

IdentifierTypeStateIssuer
1083764OtherFLFIRST HEALTH PROVIDER #
3405OtherFLTOTAL HLTH. CH. PROV. #
7799947OtherFLGHI PPO PROVIDER NUMBER
000021064-WOtherFLHUMANA PROVIDER NUMBER
196902OtherFLWELLCARE PROVIDER NUMBER
0520889-002OtherFLCIGNA PPO & HMO PROV. #
347762OtherFLUSA MNGD CR. PROVIDER #
44206OtherFLBCBS OF FL. PROVIDER #
G54533OtherFLVISTA PROVIDER NUMBER
38317OtherFLNEIGHBORHOOD PROV. #
221296OtherFLAVMED THRU PARITY PROV. #
255041500MedicaidFL
4348033OtherFLAETNA PROVIDER NUMBER

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
I20041104000361 FL Practitioner - Gynecological Oncology 6103889811 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological Oncology
Education
University of Miami, LM Miller School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

Hospital & facility affiliations

  • South Miami Hospital Hospital, Miami, FL, CCN 100154

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME0069610FLMDGynecologic Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Gynecologic Oncology CurrentSince Nov 1, 2008 Accepting new patients
University of Miami Past Accepting new patients

Locations

3641 S Miami Ave
Ste 380
Miami, FL 33133
Phone (305) 443-2110

5000 University Dr
Ste 3300
Miami, FL 33146
Phone (305) 663-7001

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

6705 SW 57th Ave
Ste 416
South Miami, FL 33143
Phone (305) 665-0100

Interoperability endpoints

  • Direct secure messaging: luis.mendez@toplinemd.eclinicaldirectplus.com

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.

Hospital & facility affiliations 1

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1308873600000",
    "number": "1730187287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 UNIVERSITY DR",
            "address_2": "SUITE 3300",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462008",
            "telephone_number": "305-663-7001",
            "fax_number": "305-663-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5000 UNIVERSITY DR",
            "address_2": "SUITE 3300",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "331462008",
            "telephone_number": "305-663-7001",
            "fax_number": "305-663-7004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "LUIS",
        "middle_name": "E.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2011-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "FL",
            "license": "ME0069610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FIRST HEALTH PROVIDER #",
            "identifier": "1083764",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TOTAL HLTH. CH. PROV. #",
            "identifier": "3405",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI PPO PROVIDER NUMBER",
            "identifier": "7799947",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA PROVIDER NUMBER",
            "identifier": "000021064-W",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE PROVIDER NUMBER",
            "identifier": "196902",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PPO & HMO PROV. #",
            "identifier": "0520889-002",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "USA MNGD CR. PROVIDER #",
            "identifier": "347762",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL. PROVIDER #",
            "identifier": "44206",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VISTA PROVIDER NUMBER",
            "identifier": "G54533",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEIGHBORHOOD PROV. #",
            "identifier": "38317",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED THRU PARITY PROV. #",
            "identifier": "221296",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "255041500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "4348033",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coral Gables, FL

Sources for this page

Verify at the official NPI Registry.