DR. DOMINIQUE MESIDOR MD
NPI 1033205091
Surgery - Surgical Critical Care in Bradenton, FL

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
2010 59TH ST W, SUITE 2200, BRADENTON, FL 34209(941) 794-5621(941) 761-1532 Get Directions Write a Review

NPPES record last updated: November 1, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Dominique Mesidor Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DOMINIQUE MESIDOR MD (NPI 1033205091) is an individual surgical critical care provider in Bradenton, Florida, licensed in Georgia (044539) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS, is affiliated with Hca Florida Fort Walton-destin Hospital, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1033205091
Entity TypeIndividualFemale
Primary Taxonomy2086S0102X
Provider Legal NameDR. DOMINIQUE MESIDORCredential: MD
Location Address2010 59TH ST W, SUITE 2200Bradenton, FL 34209-4616
Mailing Address2010 59th St W, Suite 2200Bradenton, FL 34209-4616 · (941) 794-5621 · Fax (941) 761-1532
Fax(941) 761-1532
Sole ProprietorYes
Medical School CMSOtherGraduated 1984
Enumeration DateOctober 5, 2006
Last NPPES UpdateNovember 1, 2017
NPI 1033205091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySurgery · Surgical Critical CareAllopathic & Osteopathic Physicians
Taxonomy Code2086S0102X
License Licensed in GA · 044539
Definition

A surgeon with expertise in the management of the critically ill and postoperative patient, particularly the trauma victim, who specializes in critical care medicine diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.

Also ListedSurgery · Trauma SurgeryTaxonomy 2086S0127X · License ME0086398 (FL)
2010 59TH ST W, Bradenton, FL 34209

Other Identifiers 2

Medicaid267667200FL
OtherU1254XFL · Medicare

Accepted Insurance

Medicare Participation & PECOS Enrollment Status

Dominique Mesidor 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.

Dominique Mesidor 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: 2769462365

    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: I20040723000541

    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

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

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. Dominique Mesidor is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
HCA FLORIDA FORT WALTON-DESTIN HOSPITAL1000 MAR-WALT DR
FORT WALTON BEACH, FL 32547
(850) 862-1111Acute Care Hospitals

Reviews for DR. DOMINIQUE MESIDOR MD

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Other Providers at the Same Location


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

Physical Therapist
2010 59TH ST W, STE 4700
BRADENTON, FL 34209
Anesthesiology
2010 59TH ST W, STE 5600
BRADENTON, FL 34209
Anesthesiology
2010 59TH ST W, STE 5600
BRADENTON, FL 34209
Nurse Anesthetist, Certified Registered
2010 59TH ST W, STE 5600
BRADENTON, FL 34209
Anesthesiology
2010 59TH ST W, STE 5600
BRADENTON, FL 34209
Anesthesiology
2010 59TH ST W, STE 5600
BRADENTON, FL 34209
Anesthesiology
2010 59TH ST W, STE 5600
BRADENTON, FL 34209
Nurse Anesthetist, Certified Registered
2010 59TH ST W, STE 5600
BRADENTON, FL 34209
Nurse Anesthetist, Certified Registered
2010 59TH ST W, STE 5600
BRADENTON, FL 34209
Internal Medicine (Cardiovascular Disease)
2010 59TH ST W, SUITE 4200
BRADENTON, FL 34209
Nurse Anesthetist, Certified Registered
2010 59TH ST W, STE 5600
BRADENTON, FL 34209
Anesthesiology
2010 59TH ST W, STE 5600
BRADENTON, FL 34209
Nurse Practitioner (Adult Health)
2010 59TH ST W, SUITE 3600
BRADENTON, FL 34209
Nurse Anesthetist, Certified Registered
2010 59TH ST W, BRADENTON
BRADENTON, FL 34209
Internal Medicine (Cardiovascular Disease)
2010 59TH ST W, STE. 4200
BRADENTON, FL 34209
Anesthesiology
2010 59TH ST W, STE 4650
BRADENTON, FL 34209
Surgery (Surgical Critical Care)
2010 59TH ST W, SUITE 2200
BRADENTON, FL 34209
Surgery (Trauma Surgery)
2010 59TH ST W, SUITE 2200
BRADENTON, FL 34209
Surgery (Surgical Critical Care)
2010 59TH ST W, SUITE 2200
BRADENTON, FL 34209
Physician Assistant (Medical)
2010 59TH ST W, SUITE 2200
BRADENTON, FL 34209

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1033205091, enumerated as an "individual" on October 05, 2006.

The provider is located at 2010 59TH ST W SUITE 2200 BRADENTON, FL 34209 and the phone number is (941) 794-5621.

Surgery with taxonomy code 2086S0102X and a focus in Surgical Critical Care.

The provider might be accepting Accepts: First Choice Next, Florida Blue (BlueCross. Please consult your insurance carrier or call the provider to verify.

Dominique Mesidor is affiliated with: HCA FLORIDA FORT WALTON-DESTIN HOSPITAL.