Active NPI
David Manuel Mendoza, MD
- Neurology Physician
- Jacksonville, FL
National Provider Identifier
1760042014
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- ME162848
- Practice address
- 3625 University Blvd S
Jacksonville, FL 32216-4207 - Phone
- (904) 702-6353
- Fax
- (904) 702-6356
- NPI assigned
- Jun 19, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 28997 | FL | |
| Neurology Physician | 2084N0400X | ME162848 | FL | Primary |
Addresses
Primary practice location
3625 University Blvd S
Jacksonville, FL 32216-4207
Mailing address
3625 University Blvd S
Jacksonville, FL 32216-4207
Phone (904) 702-6353
Other practice location 1
1149 Newell Dr
Gainesville, FL 32610-3011
Phone (352) 273-5550
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
- Neurology
- Education
- Florida International Univ, College of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1264 Rockledge Blvd
Suite 101
Rockledge, FL 32955-2746
Phone (321) 345-6331
211 Coral Sands Dr
Suite B
Rockledge, FL 32955-2748
211 Coral Sands Dr
Suite B
Rockledge, FL 32955-2749
Phone (321) 345-6331
Hospital & facility affiliations
- HCA Florida Memorial Hospital
- Cape Canaveral Hospital
- Viera Hospital
- Holmes Regional Medical Center
- Parrish Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.52 of 100
- Quality
- 78.57
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28997 | FL | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knight Neurology LLC | Current | Accepting new patients |
Locations
1264 Rockledge Blvd
Ste 101
Rockledge, FL 32955
Phone (321) 345-6331
211 Coral Sands Dr
Ste B
Rockledge, FL 32955
Phone (321) 345-6331
Networks
- Freedom Health HMO Network
Interoperability endpoints
- david.mendoza@hca5.eclinicaldirectplus.com
Organizations & group practices 1
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.
-
- Medical Specialty Clinic/Center
- Rockledge, FL
- NPI 1629415724
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cocoa Beach, FL
- NPI 1184691610
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1295702728
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
-
- General Acute Care Hospital
- Titusville, FL
- NPI 1053424648
-
- General Acute Care Hospital
- Melbourne, FL
- NPI 1730494816
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686700800000",
"number": "1760042014",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3625 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164207",
"telephone_number": "904-702-6353",
"fax_number": "904-702-6356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 UNIVERSITY BLVD S",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322164207",
"telephone_number": "904-702-6353",
"fax_number": "904-702-6356"
}
],
"practiceLocations": [
{
"address_1": "1149 Newell Dr",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326103011",
"country_code": "US",
"telephone_number": "352-273-5550",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDOZA",
"first_name": "DAVID",
"middle_name": "MANUEL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-06-19",
"last_updated": "2023-06-14",
"certification_date": "2023-06-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "FL",
"license": "28997",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "FL",
"license": "ME162848",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.