DR. DANIEL MENDEZ MD
NPI 1003008517
Radiology - Body Imaging in Caguas, PR


Quality Rating: 15 out of 100 score

NPI Status: Active since August 17, 2007

Contact Information

100 AVE LUIS MUNOZ MARIN
CAGUAS, PR
ZIP 00725
Phone: (787) 653-3434

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  • Individual
  • Male
  • Years of Experience 21
  • Radiology
  • Body Imaging
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About DANIEL MENDEZ

Daniel Mendez is a provider established in Caguas, Puerto Rico and his medical specialization is Radiology with a focus in body imaging with more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1003008517 assigned on August 2007. The practitioner's primary taxonomy code is 2085B0100X with license number 17067 (PR). The provider is registered as an individual and his NPI record was last updated 8 years ago.

NPI1003008517
Provider NameDR. DANIEL MENDEZ MD
Other NameDR. DANIEL MENDEZ CRUZ MD
Other Name TypeOther Name (5)
Location Address100 AVE LUIS MUNOZ MARIN CAGUAS, PR 00725
Location Phone(787) 653-3434
Mailing Address100 AVE LUIS MUNOZ MARIN CAGUAS, PR 00725
GenderMale
Entity TypeIndividual
Medical School NameOTHER
Graduation Year2003
Is Sole Proprietor?No
Enumeration Date08-17-2007
Last Update Date06-23-2016
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Daniel Mendez is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The provider participated in CMS Quality Payment Program under the Merit-based Incentive Payment System (MIPS) and has an overall final score of 15, based on four performance areas: quality, improvement activities, promoting interoperability, and cost. The purpose of this information is to help people with Medicare make informed decisions and incentivize doctors and clinicians to maximize performance.

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Body Imaging

Taxonomy Code
2085B0100X
Type
Allopathic & Osteopathic Physicians
License No.
17067
License State
PR
Taxonomy Description
A Radiology doctor of Osteopathy that specializes in Body Imaging.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
12085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

MD433674 (PA)
22085R0202XAllopathic & Osteopathic Physicians

Radiology
Diagnostic Radiology

26630 (PR)

Insurance Plans Accepted

The NPI profile data suggests this provider may be accepting health plans from these insurance companies or healthcare programs:

  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
102137465-0001MEDICAID (05)PA 
126210D2YMEDICARE PIN (08)PA 

PECOS Enrollment and Medicare Participation Status

Daniel Mendez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 2961572656

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20110301000020

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Overall MIPS Quality Performance

The Merit-based Incentive Payment System (MIPS) is a way providers could use to participate in CMS Quality Payment Program (QPP). The MIPS program affects clinician reimbursement for Part B covered professional services and also rewards them for improving the quality of patient care and outcomes.

  • Final Score: 15 out of 100

    The MIPS program evaluates providers across multiple categories with a specific weight for each category resulting a in a MIPS final score that ranges from 0 to 100 points. The MIPS Final Score determines whether providers receive a negative, neutral or positive MIPS payment adjustment.

  • Quality Score: 0

    The Quality category assesses providers performance on clinical practices and patient outcomes under the traditional MIPS program. The quality measures help identify the quality of healthcare processes, outcomes, and patient experiences. The Quality measure category compromises 40% providers final MPIS scores.

    There are six collection types for MIPS quality measures: Electronic Clinical Quality Measures (eCQMs), MIPS Clinical Quality Measures (CQMs), Qualified Clinical Data Registry (QCDR) Measures, Medicare Part B claims measures, CMS Web Interface measures and The Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS Survey.

  • Promoting Interoperability Score: N/A

    The Interoperability category measures the providers ability to use technology to exchange and make use of healthcare information in a way that is less burdensome and improves outcomes. The Interoperability measure category compromises 25% providers final MPIS scores.

    The MIPS Interoperability measure focuses on the use of certified electronic health record technology (CEHRT) to improve patient access health information, the exchange of information between clinicians and pharmacies and the systematic collection, analysis, and interpretation of healthcare data.

  • Improvement Activities Score: 40

    The Improvement Activities performance category evaluates the providers participation in clinical activities that support the improvement of clinical practice, care delivery, and outcomes. Providers have the option to choose 2 to 4 activities from an inventory of over 100 improvement activities. Providers typically choose the activities that best fit their needs. The improvement activities measure category compromises 15% providers final MPIS scores.

    The Improvement measures aim to better patient engagement, patient safety and other areas of patient care. The Improvement Activities category compromises 15% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

  • Cost Score: N/A

    The Cost performance category asses the amount and types of services provided and how clinicians coordinate care and seek improvement of health outcomes by ensuring patients receive the appropriate services.

    Although providers don't determine the price of healthcare services they are important in delivering high-quality care at a reasonable cost. The Cost measures category compromises 20% of providers final MPIS scores.

Clinician Services

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2020. The reported codes are based on the top 5 codes for each available specialty, excluding evaluation and management codes.

  • 400

    X-ray of chest, 1 view (HCPCS:71045)

  • 84

    Ct scan head or brain (HCPCS:70450)

  • 81

    X-ray of chest, 2 views (HCPCS:71046)

  • 69

    Ct scan chest (HCPCS:71250)

  • 69

    Ct scan of abdomen and pelvis with contrast (HCPCS:74177)

  • 63

    Ct scan of abdomen and pelvis (HCPCS:74176)

  • 15

    Ultrasound of head and neck (HCPCS:76536)

  • 13

    Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Daniel Mendez is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
AUXILIO MUTUO HOSPITALPONCE DE LEON AVENUE STOP 37 1/2
SAN JUAN, PR 918
(787) 758-2000Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1003008517
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2003001652
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 0 + 3 + 0 + 0 + 1 + 6 + 5 + 2 + 24 = 43
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 43 = 77

The NPI number 1003008517 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1902233877PLATINUM GASTROINTESTINAL SERVICES-PSC
Organization
Clinic/Center (Endoscopy)100 AVE LUIS MUNOZ MARIN OFICINA 150 URB. MARIOLGA
CAGUAS, PR 00725
(787) 961-1300
1356767990PLATINUM GI CONSULTING SERVICES, INC
Organization
Internal Medicine (Gastroenterology)100 AVE LUIS MUNOZ MARIN SUITE 150 URB. MARIOLGA
CAGUAS, PR 00725
(787) 744-6590
1649404195 JAVIETH H DETRES MD
Individual
Internal Medicine100 AVE LUIS MUNOZ MARIN URB MARIOLGA
CAGUAS, PR 00725
(787) 240-4646
1639379266 PATRICIA DE JESUS M.D.
Individual
Psychiatry & Neurology (Neurology)100 AVE LUIS MUNOZ MARIN
CAGUAS, PR 00725
(787) 653-3763
1184645699DR. WILFREDO JAVIER CORDERO TORRES M.D.
Individual
Emergency Medicine100 AVE LUIS MUNOZ MARIN HOSPITAL HIMA SAN PABLO
CAGUAS, PR 00725
(787) 653-3434
1699216069WOMEN'S HEALTH INSTITUTE, PSC
Organization
Obstetrics & Gynecology (Gynecology)100 AVE LUIS MUNOZ MARIN HIMA PLAZA SUITE 510
CAGUAS, PR 00725
(787) 653-3456
1952831463DR. ENRIQUE MANUEL RODRIGUEZ MD
Individual
General Practice100 AVE LUIS MUNOZ MARIN
CAGUAS, PR 00725
(787) 653-6060
1043537145DR. DANIELA M CARLOS PONS MD
Individual
Obstetrics & Gynecology (Female Pelvic Medicine and Reconstructive Surgery)100 AVE LUIS MUNOZ MARIN
CAGUAS, PR 00725
(787) 653-6060
1366948358DR. GABRIELLA M DIEPPA RAMOS PHARMD
Individual
Pharmacist100 AVE LUIS MUNOZ MARIN
CAGUAS, PR 00725
(787) 672-5004
1598006736RLFM PULMONARY SERVICES PSC
Organization
Internal Medicine (Pulmonary Disease)100 AVE LUIS MUNOZ MARIN HIMA PLAZA I OFICINA 714
CAGUAS, PR 00725
(939) 204-0800
1568565893DR. ROSANGELA L FERNANDEZ MEDERO MD
Individual
Internal Medicine (Pulmonary Disease)100 AVE LUIS MUNOZ MARIN HIMA PLAZA I SUITE 714
CAGUAS, PR 00725
(939) 204-0800
1255997193BONILLA HEALTH GROUP LLC
Organization
Internal Medicine (Hospice and Palliative Medicine)100 AVE LUIS MUNOZ MARIN
CAGUAS, PR 00725
(787) 653-6060
1750645693DR. JONATAN HERNANDEZ ROSA M.D.
Individual
Plastic Surgery100 AVE LUIS MUNOZ MARIN
CAGUAS, PR 00725
(787) 653-3108
1285289942 CARLOS REINALDO ORTIZ
Individual
General Practice100 AVE LUIS MUNOZ MARIN
CAGUAS, PR 00725
(787) 653-6060
1598313116DR. DENISE GONZALEZ SANTANA MD
Individual
General Practice100 AVE LUIS MUNOZ MARIN
CAGUAS, PR 00725
(787) 744-1135
1851936769DR. AMIN M SHEHADEH MD
Individual
General Practice100 AVE LUIS MUNOZ MARIN
CAGUAS, PR 00725
(407) 797-8218
1760596720DR. ROBERTO LOPEZ LEBRON M. D.
Individual
Anesthesiology100 AVE LUIS MUNOZ MARIN
CAGUAS, PR 00725
(918) 342-6200
1225233802 JULIO CESAR RODRIGUEZ-COLON M.D.
Individual
Psychiatry & Neurology (Vascular Neurology)100 AVE LUIS MUNOZ MARIN
CAGUAS, PR 00725
(787) 653-3434
1497077887 ILIA NOEMI CASANOVA FELICIANO M.D.
Individual
General Practice100 AVE LUIS MUNOZ MARIN
CAGUAS, PR 00725
(787) 653-3434
1598052623 JUAN P JUAN RAMIREZ M.D.
Individual
Radiology (Diagnostic Radiology)100 AVE LUIS MUNOZ MARIN
CAGUAS, PR 00725
(787) 653-3434

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1003008517, enumerated in the NPI registry as an "individual" on August 17, 2007

The provider is located at 100 Ave Luis Munoz Marin Caguas, Pr 00725 and the phone number is (787) 653-3434

The provider's speciality is Radiology with taxonomy code 2085B0100X with a focus in Body Imaging

The provider has more than 21 years of experience.

The provider might be accepting Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of April 05, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: X-ray of chest, 1 view, Ct scan head or brain, X-ray of chest, 2 views, Ct scan chest, Ct scan of abdomen and pelvis with contrast, Ct scan of abdomen and pelvis, Ultrasound of head and neck and Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers.

The practitioner is affiliated to the following hospital(s): AUXILIO MUTUO HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on August 17, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.