NPIMap

Individual provider Active NPI

Carlos Miguel Mendez, M.D.

  • Nephrology Physician
  • Naples, FL
National Provider Identifier
1902090178
Registry record updated Aug 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME123361 Issued in FL
Practice address
1750 SW Health Pkwy
Naples, FL 34109-0518
Phone
(239) 431-5767
Fax
(239) 431-5087
NPI assigned
Aug 30, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 25, 2015

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.200916 LA
Nephrology Physician 207RN0300X 200916 LA
Nephrology Physician 207RN0300X ME123361 FL Primary
Internal Medicine Physician 207R00000X ME123361 FL

Addresses

Primary practice location

1750 SW Health Pkwy
Naples, FL 34109-0518

Mailing address

PO Box 110189
Naples, FL 34108-0104
Phone (239) 431-5767

Other identifiers 1

IdentifierTypeStateIssuer
1066133MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150903000455 FL Practitioner - Internal MedicinePractitioner - Nephrology 7214015932 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1750 SW Health Pkwy
Suite 101
Naples, FL 34109-0518
Phone (239) 431-5767

Hospital & facility affiliations

  • Naples Artificial Kidney Center Dialysis facility, Naples, FL, CCN 102534
  • Ara - Naples Dialysis Center LLC Dialysis facility, Naples, FL, CCN 102844
  • Lee Memorial Hospital Hospital, Fort Myers, FL, CCN 100012
  • Gulf Coast Medical Center Lee Health Hospital, Fort Myers, FL, CCN 100220
  • Cape Coral Hospital Hospital, Cape Coral, FL, CCN 100244
  • Physicians Regional Medical Center - Pine Ridge Hospital, Naples, FL, CCN 100286
  • Naples Community Hospital Hospital, Naples, FL, CCN 100018
  • Select Specialty Hospital-Fort Myers Long-term care hospital, Fort Myers, FL, CCN 102029

Merit-based Incentive Payment System (MIPS)

Final score
95.23 of 100Reported as individual
Quality
79.17
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME123361FLMDInternal Medicine Physician
MD.200916LAMDInternal Medicine Physician
200916LAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Kidney Care, LLC Nephrology CurrentSince Apr 12, 2015 Accepting new patients

Locations

1750 SW Health Pkwy
Ste 101
Naples, FL 34109
Phone (239) 431-5767

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: carlos.mendez.1@11925.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11925/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 8

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": "1188432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440460800000",
    "number": "1902090178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 110189",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341080104",
            "telephone_number": "239-431-5767",
            "fax_number": "239-431-5087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 SW HEALTH PKWY",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341090518",
            "telephone_number": "239-431-5767",
            "fax_number": "239-431-5087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "CARLOS",
        "middle_name": "MIGUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-08-30",
        "last_updated": "2015-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.200916",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "LA",
            "license": "200916",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME123361",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME123361",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1066133",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Naples, FL

Sources for this page

Verify at the official NPI Registry.