Monique Michelle Mondesir, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

ME115811 Issued in FL

Practice address

150 SW Chamber CT Ste 101
Port St Lucie, FL 34986-3413

Phone

(772) 301-0123

Fax

(772) 301-0124

NPI assigned

Jun 28, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Specialty

Pediatric Medicine

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Optimal Care Pediatrics LLCGroup PAC ID 7719249523, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: drmondesir@optimalpediatrics.opdirect.net

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.

• Optimal Care Pediatrics LLC

  • Pediatrics Physician
  • Port Saint Lucie, FL
  • NPI 1861909384
  Medicare reassignment Care Compare group Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536537600000",
    "number": "1770894438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 SW CHAMBER CT STE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863413",
            "telephone_number": "772-301-0123",
            "fax_number": "772-301-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 SW CHAMBER CT STE 101",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349863413",
            "telephone_number": "772-301-0123",
            "fax_number": "772-301-0124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MONDESIR",
        "first_name": "MONIQUE",
        "middle_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-28",
        "last_updated": "2018-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME115811",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PA",
            "license": "MT196440",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009212800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Raymond Molano, MD
• Vitaliy Molchanov, MD
• Carlos Molina
• Connor Molloy
• Monarch Behavior Analysis, LLC
• Paul J Mondo, MD
• Monica Jackman Otr/L, PA
• Amy Lynn Montanaro, AGNP
• Kristian Montgomery
• Dawn M Montoya

• Pediatrics Physician in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; 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.

Verify at the official NPI Registry.