Individual provider Active NPI

Jose Ysrael Mendez, MD

  • Psychiatry Physician
  • Orlando, FL
National Provider Identifier
1912195017
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME107982 Issued in FL
Practice address
8615 Commodity Cir
Suite 12
Orlando, FL 32819-9071
Phone
(407) 476-1212
Fax
(407) 476-1213
NPI assigned
Oct 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME107982 FL
Internal Medicine Physician 207R00000X ME107982 FL
Neurology Physician 2084N0400X ME107982 FL
Psychiatry Physician 2084P0800X ME107982 FL Primary

Addresses

Primary practice location

8615 Commodity Cir
Suite 12
Orlando, FL 32819-9071

Mailing address

8615 Commodity Cir
Suite 12
Orlando, FL 32819-9071
Phone (407) 476-1212

Other identifiers 1

IdentifierTypeStateIssuer
005210100MedicaidFL

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
I20120815000576 FL Practitioner - Psychiatry 8729234257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

8615 Commodity Cir
Suite 12
Orlando, FL 32819-9072
Phone (407) 476-1212

Merit-based Incentive Payment System (MIPS)

Final score
89.83 of 100Reported as group
Quality
80.24
Improvement activities
40
Cost
70.85

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jose Mendez MD PA Family Medicine CurrentSince Nov 20, 2012 Accepting new patients
La Amistad Residential Treatment Center LLC Psychiatry CurrentSince May 26, 2012 Accepting new patients
House of Freedom Psychiatry Current Accepting new patients

Locations

2311 N Orange Blossom Trl
Kissimmee, FL 34744
Phone (407) 957-9077

6601 Central Florida Pkwy
Orlando, FL 32821
Phone (407) 370-0111

8615 Commodity Cir
Ste 12
Orlando, FL 32819
Phone (407) 476-1212

Organizations & group practices 3

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": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1912195017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8615 COMMODITY CIR",
            "address_2": "SUITE 12",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199071",
            "telephone_number": "407-476-1212",
            "fax_number": "407-476-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8615 COMMODITY CIR",
            "address_2": "SUITE 12",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328199071",
            "telephone_number": "407-476-1212",
            "fax_number": "407-476-1213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "JOSE",
        "middle_name": "YSRAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME107982",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME107982",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "FL",
            "license": "ME107982",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME107982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005210100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.