Mario A Mendizabal, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME0027030 Issued in FL

Practice address

921 N Citrus Ave
Crystal River, FL 34428-3422

Phone

(352) 436-4328

Fax

(352) 260-0960

NPI assigned

Sep 19, 2005

Last updated

Aug 22, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
• Direct secure messaging: mmendizabal297079@direct.tgh.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Nature Coast Health Care Radiology, LLC

  • Radiology Clinic/Center
  • Crystal River, FL
  • NPI 1447844246
  Medicare reassignment NPD
• Nature Coast High Risk Medical Management LLC

  dba Nature Coast Provider Outreach

  • Family Medicine Physician
  • Crystal River, FL
  • NPI 1013377795
  Medicare reassignment NPD
• Nature Coast Primary Care Lab LLC

  • Clinical Medical Laboratory
  • Crystal River, FL
  • NPI 1114534385
  Medicare reassignment NPD
• Nature Coast Primary Care, LLC

  dba Nature Coast Health Care

  • Family Medicine Physician
  • Crystal River, FL
  • NPI 1285995043
  Medicare reassignment NPD
• Tampa General Hospital

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1124558929
  NPD
• Columbia Ocala Regional Medical Center Physician Group Inc

  dba Oak Hill Physician Group

  • Family Medicine Physician
  • Crystal River, FL
  • NPI 1932263621
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566432000000",
    "number": "1942295639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 N SUNSHINE PATH",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344285810",
            "telephone_number": "352-795-5888",
            "fax_number": "352-795-6968"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 N CITRUS AVE",
            "city": "CRYSTAL RIVER",
            "state": "FL",
            "postal_code": "344283422",
            "telephone_number": "352-436-4328",
            "fax_number": "352-260-0960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIZABAL",
        "first_name": "MARIO",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2019-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME0027030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meadowcrest Physicians Partners LLC
• Medical Risk Solutions, LLC (MHO - Citrus Crystal River)
• Mefl, LLC (Miracle-Ear)
• Dhruv S. Mehta, M.D.
• Marcela Melchoire, APRN
• Andrea Menster, PTA
• Jennifer L Messier, OTR/L
• MFP Physician Partners, LLC
• MFP Primary Care LLC
• Donna Jean Michaud, ARNP

• Family Medicine Physician in Crystal River, FL
• Providers in Crystal River, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.