Active NPI
Christopher Antonio Menendez, MD
- Surgery Physician
- Florissant, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- E-8334
- Practice address
- 1225 Graham Rd
Florissant, MO 63031-8012 - Phone
- (314) 953-6886
- Fax
- (314) 953-6887
- NPI assigned
- Jul 20, 2007
- Last updated
- May 1, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | E-8334 | AR | Primary |
Addresses
Primary practice location
1225 Graham Rd
Florissant, MO 63031-8012
Mailing address
701 S Horsebarn Rd
Ste 100
Rogers, AR 72758-8796
Phone (314) 953-6886
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 194488602 | Medicaid | TX | |
| 194488601 | Medicaid | TX | |
| 8AQ005 | Other | TX | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- 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
- General Surgery
- Education
- University of Arkansas College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5501 Willow Creek Dr
Springdale, AR 72762-8708
601 W Maple Ave
Springdale, AR 72764-5374
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.5 of 100
- Quality
- 69.34
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 46 |
| Melanoma (skin cancer) excision | 19 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Arkansas Breast Care Specialists, LTD. | Surgery | Current | Accepting new patients |
| Northwest Physicians LLC | Current | Accepting new patients | |
| Northwest Physicians LLC | Current | Accepting new patients | |
| Physician Groups LC | Internal Medicine | Past | Accepting new patients |
Locations
701 S Horsebarn Rd
Ste 100
Rogers, AR 72758
Phone (479) 202-2820
601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742
Interoperability endpoints
- christopher.menendez.1@2229.direct.athenahealth.com
- dmccmenen@yourcarecommunity.org
Organizations & group practices 4
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.
-
- Obstetrics Physician
- Springdale, AR
- NPI 1194768721
-
- Surgery Physician
- Rogers, AR
- NPI 1164846887
-
- Durable Medical Equipment & Medical Supplies
- Springdale, AR
- NPI 1205137536
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwest Medical Center
- General Acute Care Hospital
- Springdale, AR
- NPI 1699726695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184889600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714521600000",
"number": "1881894673",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 S HORSEBARN RD",
"address_2": "STE 100",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588796",
"telephone_number": "314-953-6886",
"fax_number": "314-953-6887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1225 GRAHAM RD",
"city": "FLORISSANT",
"state": "MO",
"postal_code": "630318012",
"telephone_number": "314-953-6886",
"fax_number": "314-953-6887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENENDEZ",
"first_name": "CHRISTOPHER",
"middle_name": "ANTONIO",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-20",
"last_updated": "2024-05-01",
"certification_date": "2024-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AR",
"license": "E-8334",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194488602",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "194488601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8AQ005",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Florissant, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.