Ivan Mendoza (NPI# 1770790057, PAC ID# 8820212491) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIAC ELECTROPHYSIOLOGY.
| Nation Provider ID (NPI) | 1770790057 |
| PAC ID by PECOS | 8820212491 |
| Professional Enrollment ID | I20140623000619 |
| Full Name | Ivan Mendoza |
| Organization Legal Name | PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA |
| Address |
9380 Sw 150 Street 120 Orthopaedic Center Jackson South Miami FL 33176-7947 |
| Phone Number | 3055853701 |
| Gender | M |
| Graduation Year | 2000 |
| Primary Specialty | CARDIAC ELECTROPHYSIOLOGY |
| Group Practice PAC ID | 0244380434 |
| Number of Group Practice Members | 265 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 100022 | JACKSON HEALTH SYSTEM |
| Address | Phone | Organization |
|---|---|---|
| 9380 Sw 150 Street, 120 Orthopaedic Center Jackson South, Miami, FL 33176-7947 | 3055853701 | PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_110_overall | Preventive Care and Screening: Influenza Immunization | 5% | |
| MIPS_EC_128_overall | Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan | 22% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 82% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 84% | |
| MIPS_EC_326_overall | Atrial Fibrillation and Atrial Flutter: Chronic Anticoagulation Therapy | 93% |
| Organization Legal Name | PUBLIC HEALTH TRUST OF MIAMI DADE COUNTY FLORIDA |
| Physicians | 271 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Vanessa U Alvarez Castellares | Family Medicine | Public Health Trust of Miami Dade County Florida | 18910 S Dixie Hwy, Uhealth Jackson Urgent Care Cutler Bay, Cutler Bay, FL 33157-7711 |
| Rohit K Chugh | Family Medicine | Public Health Trust of Miami Dade County Florida | 13707 Sw 152 St, Uhealth Jackson Urgent Care Country Walk, Miami, FL 33177-1106 |
| Alexander B Su | Family Medicine | Public Health Trust of Miami Dade County Florida | 13120 Biscayne Blvd, North Miami, FL 33181-2013 |
| Dawn Garcen | Family Medicine | Public Health Trust of Miami Dade County Florida | 16555 Nw 25th Ave, Uhealth Jackson Urgent Care North Dade, Miami Gardens, FL 33054-6583 |
| Joao F Braghiroli | Cardiovascular Disease (cardiology) | Public Health Trust of Miami Dade County Florida | 1801 Nw 9th Ave 2nd Floor, Jmg Specialty Physicians Biscayne, Miami, FL 33136-1101 |
| Jose R Chamorro | Nurse Practitioner | Public Health Trust of Miami Dade County Florida | 9380 Sw 150 Street, 120 Orthopaedic Center Jackson South, Miami, FL 33176-7947 |
| Ambert Louis | Emergency Medicine | Public Health Trust of Miami Dade County Florida | 615 5th St, Miami Beach, FL 33139-6515 |
| Mercy M Gonzalez | Psychiatry | Public Health Trust of Miami Dade County Florida | 15055 Nw 27 Ave, Opa Locka, FL 33054-3365 |
| Rhea B Sancassani | Internal Medicine | Public Health Trust of Miami Dade County Florida | 1611 Nw 12 Ave, Jmg Specialty Physicians, Miami, FL 33136-1005 |
| Wanda Mcgowan-braynen | Nurse Practitioner | Public Health Trust of Miami Dade County Florida | 1611 Nw 12 Ave, Jmg Specialty Physicians, Miami, FL 33136-1005 |
| Street Address |
9380 SW 150 STREET 120 ORTHOPAEDIC CENTER JACKSON SOUTH |
| City | MIAMI |
| State | FL |
| Zip | 33176-7947 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jose R Chamorro | Nurse Practitioner | Public Health Trust of Miami Dade County Florida | 9380 Sw 150 Street, 120 Orthopaedic Center Jackson South, Miami, FL 33176-7947 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Magaly A Rodriguez | General Surgery | 11140 Sw 88th St, Suite 100, Miami, FL 33176-0901 | |
| Mercedes E Rosenberg | Clinical Psychologist | 11110 N Kendall Dr, Suite 200, Miami, FL 33176-0938 | |
| Carlos M. Larocca | Family Medicine | 11130 Sw 88th St, Suite 200, Miami, FL 33176-0939 | |
| Norma S Lake | Family Medicine | 11160 Sw 88 St, Suite 104 105, Miami, FL 33176-0949 | |
| Andria F Rodriguez | Family Medicine | Baptist Health Medical Group Physicians LLC | 11535 N Kendall Dr, Miami, FL 33176-1002 |
| Coren M Menendez | Family Medicine | Baptist Health Medical Group Physicians LLC | 11535 N Kendall Dr, Miami, FL 33176-1002 |
| Mark P Caruso | Internal Medicine | Baptist Health Medical Group Physicians LLC | 11535 N Kendall Dr, Miami, FL 33176-1002 |
| Christina Stewart | Nurse Practitioner | Baptist Health Medical Group Physicians LLC | 11535 N Kendall Dr, Miami, FL 33176-1002 |
| Juliet Vento | Internal Medicine | Baptist Health Medical Group Physicians LLC | 11535 N Kendall Dr, Miami, FL 33176-1002 |
| Jaimy L Yoham | Chiropractic | 11440 N Kendall Dr, Suite 111, Miami, FL 33176-1024 | |
| Find all physicians in zip 33176 | |||
| City | MIAMI |
| Zip Code | 33176 |
| Specialty | CARDIAC ELECTROPHYSIOLOGY |
| City + Specialty | MIAMI + CARDIAC ELECTROPHYSIOLOGY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.