Ivan Mendoza
Dr. Ivan Mendoza · Internal Medicine (Clinical Cardiac Electrophysiology)

Address: 3801 Biscayne Blvd Ste 230, Miami, FL 33137-9800
Phone: 7864668490

Ivan Mendoza (NPI# 1770790057) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1770790057
Entity Type Individual
Full Name Ivan Mendoza
Other Name Dr. Ivan Mendoza
Credential MD
Gender Male
Practice Address 3801 Biscayne Blvd Ste 230
Miami
FL 33137-9800
Practice Telephone 7864668490
Mailing Address 1500 Nw 12th Ave Ste 810
Miami
FL 33136-1037
Mailing Telephone 3055856649
Sole Proprietor No, this individual is not a Sole Proprietor
Enumeration Date 2007-05-17
Last Update Date 2014-09-23

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 207RC0001X Internal Medicine · Clinical Cardiac Electrophysiology Allopathic & Osteopathic Physicians ME109272 FL

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1811467376 Ivan Yancarlo Mendoza Dentist 178 Summer St, South Walpole, MA 02071-1044 2018-11-27
1851532766 Ivan Armando Mendoza Technician, Other 120 W Cole Blvd Ste B, Calexico, CA 92231-9700 2009-03-23

Physician Overview

NPI 1770790057
PAC ID by PECOS 8820212491
Professional Enrollment ID I20140623000619
Full Name Ivan Mendoza
Organization Legal Name PUBLIC HEALTH TRUST OF DADE COUNTY
Phone Number 3055858957
Gender M
Graduation Year 2000
Primary Specialty CARDIOVASCULAR DISEASE (CARDIOLOGY)
Secondary Specialties INTERNAL MEDICINE
Group Practice PAC ID 0244380434
Number of Group Practice Members 231
Accepts Medicare Assignment Y
Report Quality Measures Y
Participated in Million Hearts Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
100022 JACKSON HEALTH SYSTEM
100008 BAPTIST HOSPITAL OF MIAMI

Individual EP (Eligible Professionals) Public Reporting – Performance Scores
Physician Quality Reporting System (PQRS) and non-PQRS Qualified Clinical Data Registry (QCDR)

Measure Identifier Measure Title Performance Rate Reporting Mechanism
PQRS_EP_130_1 Documentation of Current Medications in the Medical Record 79%
PQRS_EP_226_1 Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention 77%
PQRS_EP_326_1 Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy 100%

Office Location

Street Address 3801 BISCAYNE BLVD STE 230
City MIAMI
State FL
Zip Code 33137-9800

Providers in the same location

NPI Name Taxonomy Address Enumeration
1194754689 Alexandre C Ferreira Internal Medicine 3801 Biscayne Blvd Ste 230, Miami, FL 33137-9800 2006-06-30
1568606168 Auja Luvonne Mcdougale Obstetrics & Gynecology 3801 Biscayne Blvd Ste 230, Miami, FL 33137-9800 2009-04-27
1124245147 Anila Veerani Internal Medicine 3801 Biscayne Blvd Ste 230, Miami, FL 33137-9800 2007-04-19
1689693509 Lydia A Nunez Family Medicine 3801 Biscayne Blvd Ste 230, Miami, FL 33137-9800 2006-07-19

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1225524994 Md Now Medical Centers Inc Clinic/Center 2310 Biscayne Blvd, Miami, FL 33137 2018-07-06
1760914113 Dieynaba Toure General Practice 651 Ne 53rd Street, B, Miami, FL 33137 2017-04-03
1851837629 Cristina De Toro Case Manager/Care Coordinator 3550 Biscayne Blvd #508, Borinquen Medical Centers, Miami, FL 33137 2017-01-17
1780035907 Freida Figueredo Behavior Technician 225 Ne 23rd St Apt 1205, Miami, FL 33137 2016-06-29
1740639152 Mhb Consultants Early Intervention Provider Agency 225 Ne 23st #1205, Miami, FL 33137 2016-06-07
1245602200 Gabriela Elizabeth Echagaray Clinical Nurse Specialist 4770 Biscayne Blvd Ste 880, Miami, FL 33137 2015-10-29
1558788836 Ieshy Soley Pereira Dentist 350 Ne 24 St, #105, Miami, FL 33137 2014-03-25
1740619634 Bay Point Medical Center, LLC Emergency Medical Technician, Basic 4770 Biscayne Boulevard, Suite 150, Miami, FL 33137 2013-11-01
1497007173 54th Street Medical Plaza Inc Pediatrics 5305 N.e. 2nd Avenue, Miami, FL 33137 2012-10-05
1760756225 Variety Children's Hospital Clinic/Center 12246 Miramar Parkway, Miramar, FL 33137 2012-03-01
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Taxonomy Information

Taxonomy Code 207RC0001X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Clinical Cardiac Electrophysiology

Taxonomy Definition

A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1710385240 Heart Rhythm Center of South Florida Pa Internal Medicine 7000 Sw 97th Ave., Suite 102, Miami, FL 33173-1474 2014-12-16
1104232578 University of Miami Medicine Internal Medicine 1295 Nw 14th St, Suite A, Miami, FL 33125-1610 2014-07-07
1780821462 Mario Ignacio Pascual Internal Medicine 7400 Sw 87th Ave, Suite 100, Miami, FL 33173-5458 2009-01-16
1891986246 Miami Arrhythmia Center Inc Internal Medicine 8500 Sw 92nd St, 208, Miami, FL 33156-7390 2007-08-09
1346454915 Kenneth M Zide Internal Medicine 3801 Biscayne Boulevard, Suite 300, Miami, FL 33137-9800 2007-05-10
1851318596 Arrhythmia Syncope Consultants, LLC Internal Medicine 3641 S Miami Ave, Second Floor, Miami, FL 33133-4205 2006-07-17
1033147673 Jeffrey Goldberger Internal Medicine 1295 Nw 14th St, Miami, FL 33125-1610 2006-06-30
1689615023 Fernando Mera Internal Medicine 8500 Sw 92nd St, Suite 208b, Miami, FL 33156-7390 2006-06-09

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1780150524 Winter Haven Hospital Inc Internal Medicine 200 Avenue F Ne Fl 2, Winter Haven, FL 33881-4131 2018-10-19
1154897130 Sujata S. Balulad, Md., Pa Internal Medicine 1095 Highway A1a Apt 2201, Satellite Beach, FL 32937 2018-10-17
1629511035 Ibrahim Heart Clinic Pllc Internal Medicine 13842 Harbor Creek Pl, Jacksonville, FL 32224-6895 2016-12-02
1578987855 Integrated Care,llc Internal Medicine 603 North Flamingo Road, Suite 255, Pembroke Pines, FL 33028-1013 2014-02-07
1407184377 Sunil Kumar Internal Medicine 311 West Oak Street, Department of Cardiology, Kissimmee, FL 34741-2265 2009-12-03
1760610752 Daniel Masvidal Internal Medicine 6101 Pine Ridge Rd Fl 1, Naples, FL 34119-3900 2009-06-29
1013154111 Iosif Kelesidis Internal Medicine 2477 Bruce B Downs Blvd, Wesley Chapel, FL 33544 2009-01-11
1487855649 Rishi Gujral Anand Internal Medicine 4725 N Federal Hwy Ste 401, Fort Lauderdale, FL 33308-4603 2007-05-29
1518172279 Ajit Haldipur Janardhan Internal Medicine 129 E Redstone Ave Ste A, Crestview, FL 32539-5350 2007-05-14
1346380771 Brett Alan Faulknier Internal Medicine 3450 11th Ct Ste 104a, Vero Beach, FL 32960-5012 2007-02-07
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City MIAMI
Zip Code 33137

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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