Individual provider Active NPI

Pedro Ernesto Mendez, MD

  • Hematology & Oncology Physician
  • Tampa, FL
National Provider Identifier
1780610568
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
ME47218 Issued in FL
Practice address
4700 N Habana Ave
Ste 702
Tampa, FL 33614-7160
Phone
(813) 872-0613
Fax
(813) 879-2644
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X ME47218 FL Primary

Addresses

Primary practice location

4700 N Habana Ave
Ste 702
Tampa, FL 33614-7160

Mailing address

4700 N Habana Ave
Ste 702
Tampa, FL 33614-7160
Phone (813) 872-0613

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
I20040804000636 FL Practitioner - Hematology/Oncology 6709857063 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Oncology Institute FL, LLCGroup PAC ID 7315999372, 22 clinicians

Practice addresses (Care Compare)

6499 38TH Ave N
Suite G1
St Petersburg, FL 33710-1658
Phone (727) 381-3761

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME47218FLMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Oncology FL, LLC Hematology & Oncology CurrentSince May 3, 2021 Accepting new patients

Locations

18000 Studebaker Rd
Ste 800
Cerritos, CA 90703

3702 Washington St
Ste 407
Hollywood, FL 33021
Phone (754) 348-0168

6499 38th Ave N
Ste G1
St Petersburg, FL 33710
Phone (727) 381-3761

4700 N Habana Ave
Ste 702
Tampa, FL 33614
Phone (813) 757-8497

Networks

  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: pedro.mendez@theoncologyinstitute.ikm.direct-ci.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.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1780610568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 N HABANA AVE",
            "address_2": "STE 702",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147160",
            "telephone_number": "813-872-0613",
            "fax_number": "813-879-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 N HABANA AVE",
            "address_2": "STE 702",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147160",
            "telephone_number": "813-872-0613",
            "fax_number": "813-879-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "PEDRO",
        "middle_name": "ERNESTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "FL",
            "license": "ME47218",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.