DR. DANIEL MENDEZ MD NPI 1003008517
Radiology - Body Imaging in Caguas, PR
About DR. DANIEL MENDEZ MD
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 20 years of experience. The NPI number of this provider is 1003008517 and was 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 7 years ago.
| NPI | 1003008517 |
| Provider Name | DR. DANIEL MENDEZ MD |
| Location Address | 100 AVE LUIS MUNOZ MARIN CAGUAS, PR 00725 |
| Location Phone | (787) 653-3434 |
| Mailing Address | 100 AVE LUIS MUNOZ MARIN CAGUAS, PR 00725 |
| Gender | Male |
| NPI Entity Type | Individual |
| Medical School Name | OTHER |
| Graduation Year | 2003 |
| Is Sole Proprietor? | No |
| Enumeration Date | 08-17-2007 |
| Last Update Date | 06-23-2016 |
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.
Daniel Mendez is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with .
The provider participated in Medicare's 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.
Primary Taxonomy
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
| Taxonomy Code | 2085B0100X |
| Classification | Radiology |
| Type | Allopathic & Osteopathic Physicians |
| Specialization | Body Imaging |
| License No. | 17067 |
| License State | PR |
| Taxonomy Description | A Radiology doctor of Osteopathy that specializes in Body Imaging. |
Accepted Insurance
The NPI profile data indicates this provider might be enrolled and accepting health plans from the following insurance companies or healthcare programs:
- Medicaid
- Medicare
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Business Address
100 AVE LUIS MUNOZ MARIN
CAGUAS, PR
ZIP 00725
Phone: (787) 653-3434
Mailing Address
100 AVE LUIS MUNOZ MARIN
CAGUAS, PR
ZIP 00725
Phone: (787) 653-3434
Location Map
PECOS Enrollment and Medicare Participation Status
What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
| Registered in PECOS? | Yes |
| PECOS PAC ID | 2961572656 |
| PECOS Enrollment ID | I20110301000020 |
| 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 order / refer Part B Clinical Laboratory and Imaging | Yes |
| Eligible order / refer Durable Medical Equipment | Yes |
| Eligible order / refer Home Health Agency (HHA) | Yes |
| Eligible order / 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 Medicare's 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.
| MIPS Measure | Score Weight | Score | |
|---|---|---|---|
| Quality | 40% | 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 (PI) | 25% | 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 | 15% | 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 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 | 20% | 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. |
|||
| MIPS Final Score | - | 15 | |
| 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. | |||
Clinician Utilization
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 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.
- 471X-ray of chest, 1 view, front (HCPCS:71010)
- 106X-ray of chest, 2 views, front and side (HCPCS:71020)
- 105CT scan of abdomen and pelvis (HCPCS:74176)
- 25CT scan of abdomen and pelvis with contrast (HCPCS:74177)
- 18X-ray of shoulder, minimum of 2 views (HCPCS:73030)
- 18X-ray of abdomen, single view (HCPCS:74000)
- 12Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers (HCPCS:93971)
Secondary Taxonomies
The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.
| No. | Taxonomy Code | Type | Classification | Specialization | License No. | State | Primary |
|---|---|---|---|---|---|---|---|
| 1 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | MD433674 | PA | No |
Taxonomy Description: a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. | |||||||
| 2 | 2085R0202X | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology | 26630 | PR | No |
Taxonomy Description: a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. | |||||||
Additional Identifiers
Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State |
|---|---|---|
| 102137465-0001 | MEDICAID (05) | PA |
| 126210D2Y | MEDICARE PIN (08) | PA |
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. | |||||||||
| 1 | 0 | 0 | 3 | 0 | 0 | 8 | 5 | 1 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 0 | 3 | 0 | 0 | 16 | 5 | 2 | |
| 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 = 7 | 7 | ||||||||
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 |
|---|---|---|---|
| 1902233877 | PLATINUM GASTROINTESTINAL SERVICES-PSC Organization | Clinic/Center (Endoscopy) | 100 AVE LUIS MUNOZ MARIN OFICINA 150 URB. MARIOLGA CAGUAS, PR 00725 (787) 961-1300 |
| 1356767990 | PLATINUM 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 Medicine | 100 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 |
| 1184645699 | DR. WILFREDO JAVIER CORDERO TORRES M.D. Individual | Emergency Medicine | 100 AVE LUIS MUNOZ MARIN HOSPITAL HIMA SAN PABLO CAGUAS, PR 00725 (787) 653-3434 |
| 1699216069 | WOMEN'S HEALTH INSTITUTE, PSC Organization | Obstetrics & Gynecology (Gynecology) | 100 AVE LUIS MUNOZ MARIN HIMA PLAZA SUITE 510 CAGUAS, PR 00725 (787) 653-3456 |
| 1952831463 | DR. ENRIQUE MANUEL RODRIGUEZ MD Individual | General Practice | 100 AVE LUIS MUNOZ MARIN CAGUAS, PR 00725 (787) 653-6060 |
| 1043537145 | DR. 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 |
| 1366948358 | DR. GABRIELLA M DIEPPA RAMOS PHARMD Individual | Pharmacist | 100 AVE LUIS MUNOZ MARIN CAGUAS, PR 00725 (787) 672-5004 |
| 1437634144 | DAYMI COWGILL MD Individual | General Practice | 100 AVE LUIS MUNOZ MARIN CAGUAS, PR 00725 (787) 653-3434 |
| 1598006736 | RLFM PULMONARY SERVICES PSC Organization | Internal Medicine (Pulmonary Disease) | 100 AVE LUIS MUNOZ MARIN HIMA PLAZA I OFICINA 714 CAGUAS, PR 00725 (939) 204-0800 |
| 1568565893 | DR. 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 |
| 1437396322 | DR. VINCENT BONILLA RUIZ M.D. Individual | Internal Medicine (Hospice and Palliative Medicine) | 100 AVE LUIS MUNOZ MARIN HOSPITAL HIMA SAN PABLO CAGUAS, PR 00725 (787) 653-6060 |
| 1255997193 | BONILLA HEALTH GROUP LLC Organization | Internal Medicine (Hospice and Palliative Medicine) | 100 AVE LUIS MUNOZ MARIN CAGUAS, PR 00725 (787) 653-6060 |
| 1750645693 | DR. JONATAN HERNANDEZ ROSA M.D. Individual | Plastic Surgery | 100 AVE LUIS MUNOZ MARIN CAGUAS, PR 00725 (787) 653-3108 |
| 1285289942 | CARLOS REINALDO ORTIZ Individual | General Practice | 100 AVE LUIS MUNOZ MARIN CAGUAS, PR 00725 (787) 653-6060 |
| 1598313116 | DR. DENISE GONZALEZ SANTANA MD Individual | General Practice | 100 AVE LUIS MUNOZ MARIN CAGUAS, PR 00725 (787) 744-1135 |
| 1851936769 | DR. AMIN M SHEHADEH MD Individual | General Practice | 100 AVE LUIS MUNOZ MARIN CAGUAS, PR 00725 (407) 797-8218 |
| 1760596720 | DR. ROBERTO LOPEZ LEBRON M. D. Individual | Anesthesiology | 100 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 |
Frequently Asked Questions
What is Dr. Daniel Mendez MD NPI number?
The NPI number assigned to this healthcare provider is 1003008517, registered as an "individual" on August 17, 2007
Where is Dr. Daniel Mendez MD located?
The provider is located at 100 Ave Luis Munoz Marin Caguas, Pr 00725 and the phone number is (787) 653-3434
Which is Dr. Daniel Mendez MD specialty?
The provider's speciality is Radiology with a focus in Body Imaging
How many years of experience does Dr. Daniel Mendez MD have?
The provider has more than 20 years of experience.
What insurance does Dr. Daniel Mendez MD accept?
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.
Is Dr. Daniel Mendez MD registered in PECOS?
Yes, as of March 13, 2023 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare 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.
What are some of the services provided by Dr. Daniel Mendez MD?
The most common procedures or services performed by this practitioner are: X-ray of chest, 1 view, front, X-ray of chest, 2 views, front and side, CT scan of abdomen and pelvis, CT scan of abdomen and pelvis with contrast, X-ray of shoulder, minimum of 2 views, X-ray of abdomen, single view and Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers.
How do I update my NPI information?
The NPI record of Dr. Daniel Mendez MD 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.