Individual provider Active NPI

Max Allen Mondestin, M.D.

  • Orthopaedic Surgery Physician
  • Atlantis, FL
National Provider Identifier
1902197973
Registry record updated Apr 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
D83420 Issued in MD
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

Updated by the provider on Apr 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
123508700MedicaidMD
ME150173OtherFLDOH

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
I20220318000026 FL Practitioner - General SurgeryPractitioner - Hand Surgery 8729377650 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopedic Center of Palm Beach County CurrentSince May 1, 2022 Accepting new patients
Wellington Orthopedic Institute, LLC Orthopaedic Surgery Current Accepting new patients
Orthopedic Center of Palm Beach County, LLC CurrentSince May 1, 2022 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Hand 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 24 clinicians

Practice addresses (Care Compare)

180 JFK Dr
Suite 100
Atlantis, FL 33462-6641
Phone (561) 967-6500

Hospital & facility affiliations

  • Wellington Regional Medical Center Hospital, Wellington, FL, CCN 100275
  • HCA Florida JFK Hospital Hospital, Atlantis, FL, CCN 100080
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168
  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion36
Laminectomy or laminotomy (partial removal of spine bones)13
Removal of tissue1-10

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

Verify at the official NPI Registry.