Active NPI
Max Allen Mondestin, M.D.
- Orthopaedic Surgery Physician
- Atlantis, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- D83420
- Practice address
- 180 John F Kennedy Dr Ste 100
Atlantis, FL 33462-6641 - Phone
- (561) 967-6500
- Fax
- (561) 433-4175
- NPI assigned
- Apr 26, 2011
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | ME150173 | FL | |
| Orthopaedic Surgery Physician | 207X00000X | D83420 | MD | Primary |
Addresses
Primary practice location
180 John F Kennedy Dr Ste 100
Atlantis, FL 33462-6641
Mailing address
180 John F Kennedy Dr Ste 100
Atlantis, FL 33462-6641
Phone (561) 967-6500
Other practice location 1
601 N Caroline St # 5244
Baltimore, MD 21287-0006
Phone (410) 955-3376
Other practice location 2
169 Ashley Ave
Room 202 Main Hospital MSC333
Charleston, SC 29425-8908
Phone (843) 792-0245
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123508700 | Medicaid | MD | |
| ME150173 | Other | FL | DOH |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220318000026 | FL | Practitioner - General Surgery | 8729377650 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Center of Palm Beach County | Current | Accepting new patients | |
| Wellington Orthopedic Institute, LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopedic Center of Palm Beach County, LLC | Current | Accepting new patients | |
| Orthopedic Center of Palm Beach County, LLC | Orthopaedic Surgery | Past | Accepting new patients |
| Orthopedic Center of Palm Beach County, Inc. | Past | Accepting new patients |
Locations
4705 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 220-2622
1905 Clint Moore Rd
Ste 214
Boca Raton, FL 33496
Phone (561) 241-8668
10275 Hagen Ranch Rd
Ste 200
Boynton Beach, FL 33437
Phone 5619676500 ext. 1324
4601 Military Trl
Ste 209
Jupiter, FL 33458
Phone (561) 779-1520
180 John F Kennedy Dr
Ste 100
Lake Worth, FL 33462
1221 S State Road 7
Ste 200
Wellington, FL 33414
Phone (561) 697-6500
Interoperability endpoints
- max.mondestin.1@26475.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Durable Medical Equipment & Medical Supplies
- Boca Raton, FL
- NPI 1891683801
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Wellington, FL
- NPI 1669254215
Orthopaedic Surgery
-
- Durable Medical Equipment & Medical Supplies
- Lake Worth, FL
- NPI 1659453835
-
- Orthopaedic Surgery Physician
- Atlantis, FL
- NPI 1164963252
Orthopaedic Surgery
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
Hospital
-
- General Acute Care Hospital
- Atlantis, FL
- NPI 1326085424
Hospital
-
- General Acute Care Hospital
- Wellington, FL
- NPI 1720078702
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Emory University School of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Orthopedic Center of Palm Beach County, LLC
Practice addresses (Care Compare)
180 JFK Dr
Suite 100
Atlantis, FL 33462-6641
Phone (561) 967-6500
Hospital & facility affiliations
- Wellington Regional Medical Center
- HCA Florida JFK Hospital
- Boca Raton Regional Hospital
- Bethesda Hospital East
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 36 |
| Laminectomy or laminotomy (partial removal of spine bones) | 13 |
| Removal of tissue | 1-10 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1303776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1649980800000",
"number": "1902197973",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "180 JOHN F KENNEDY DR STE 100",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334626641",
"telephone_number": "561-967-6500",
"fax_number": "561-433-4175"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "180 JOHN F KENNEDY DR STE 100",
"city": "ATLANTIS",
"state": "FL",
"postal_code": "334626641",
"telephone_number": "561-967-6500",
"fax_number": "561-433-4175"
}
],
"practiceLocations": [
{
"address_1": "601 N Caroline St # 5244",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212870006",
"country_code": "US",
"telephone_number": "410-955-3376",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "169 Ashley Ave",
"address_2": "Room 202 Main Hospital MSC333",
"address_purpose": "LOCATION",
"city": "Charleston",
"state": "SC",
"postal_code": "294258908",
"country_code": "US",
"telephone_number": "843-792-0245",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MONDESTIN",
"first_name": "MAX",
"middle_name": "ALLEN",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-26",
"last_updated": "2022-04-15",
"certification_date": "2022-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME150173",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "MD",
"license": "D83420",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123508700",
"state": "MD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOH",
"identifier": "ME150173",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Atlantis, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2022; 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.