Individual provider Active NPI

Cesar Ramiro Mejia, MD

  • Pediatrics Physician
  • Clermont, FL
National Provider Identifier
1922354927
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
ME112578 Issued in FL
Practice address
17000 Porter Rd
Ste 208
Clermont, FL 34711-8800
Phone
(407) 905-6014
Fax
(407) 654-4113
NPI assigned
Jul 27, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME112578 FL Primary

Addresses

Primary practice location

17000 Porter Rd
Ste 208
Clermont, FL 34711-8800

Mailing address

17000 Porter Rd
Ste 208
Clermont, FL 34711-8800
Phone (407) 905-6014

Other identifiers 1

IdentifierTypeStateIssuer
006323300MedicaidFL

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
I20160623001667 FL Practitioner - Pediatric Medicine 4880827112 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Centers, Inc CurrentSince Jun 6, 2016 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Community Health Centers, Inc CurrentSince Jun 6, 2016 Accepting new patients
Community Health Centers, Inc Current Accepting new patients
Community Health Centers, Inc Current Accepting new patients
Orlando Physicians Network Inc Past Accepting new patients

Locations

225 E 7th St
Apopka, FL 32703
Phone (407) 886-6201

7900 Forest City Rd
Orlando, FL 32810
Phone (407) 614-5337

840 Mercy Dr
Pine Hills, FL 32808

17000 Porter Rd
Ste 208
Winter Garden, FL 34787
Phone (407) 614-8320

110 S Woodland St
Winter Garden, FL 34787

Interoperability endpoints

  • Direct secure messaging: cmejia27051@orlandohealth.medalliesdirect.net

Organizations & group practices 6

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": "1343347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1922354927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 PORTER RD",
            "address_2": "STE 208",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118800",
            "telephone_number": "407-905-6014",
            "fax_number": "407-654-4113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17000 PORTER RD",
            "address_2": "STE 208",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347118800",
            "telephone_number": "407-905-6014",
            "fax_number": "407-654-4113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEJIA",
        "first_name": "CESAR",
        "middle_name": "RAMIRO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-07-27",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME112578",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006323300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.