Individual provider Active NPI

Manuel V Mendez, MD

  • Vascular Surgery Physician
  • West Palm Beach, FL
National Provider Identifier
1932134467
Registry record updated Jun 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME79234 Issued in FL
Practice address
1620 N Dixie Hwy
West Palm Beach, FL 33407-6502
Phone
(561) 833-0770
Fax
(561) 659-4830
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X ME79234 FL Primary

Addresses

Primary practice location

1620 N Dixie Hwy
West Palm Beach, FL 33407-6502

Mailing address

1620 N Dixie Hwy
West Palm Beach, FL 33407-6502
Phone (561) 833-0770

Other identifiers 1

IdentifierTypeStateIssuer
258055100MedicaidFL

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
I20070226000230 FL Practitioner - Vascular SurgeryPractitioner - General Surgery 9335241116 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1309 N Flagler Dr
West Palm BCH, FL 33401-3406
Phone (561) 882-4541

1411 N Flagler Dr
Suite 8000
West Palm Beach, FL 33401-3413
Phone (561) 650-6231

1411 N Flagler Dr
Suite 9700
West Palm Beach, FL 33401-3422
Phone (561) 655-1877

901 45TH St
Mangonia Park, FL 33407-2413
Phone (561) 844-6300

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.5 of 100Reported as group
Quality
69.32
Promoting interoperability
100
Improvement activities
40
Cost
72.03

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion45
Leg revascularization (restoring blood flow)18
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services, LLC CurrentSince Jul 11, 2019 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Jul 11, 2019 Accepting new patients

Locations

1411 N Flagler Dr
Ste 8900
West Palm Beach, FL 33401
Phone (561) 227-9238

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

1620 N Dixie Hwy
West Palm Beach, FL 33407
Phone (561) 723-5564

1411 N Flagler Dr
#8900
West Palm Beach, FL 33401
Phone (561) 832-8886

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: manuel.mendez.1@13023.direct.athenahealth.com

Organizations & group practices 2

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 2

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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560816000000",
    "number": "1932134467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1620 N DIXIE HWY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076502",
            "telephone_number": "561-833-0770",
            "fax_number": "561-659-4830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1620 N DIXIE HWY",
            "city": "WEST PALM BEACH",
            "state": "FL",
            "postal_code": "334076502",
            "telephone_number": "561-833-0770",
            "fax_number": "561-659-4830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "MANUEL",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2019-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME79234",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258055100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Palm Beach, FL

Sources for this page

Verify at the official NPI Registry.