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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: August 16, 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
Phone(941) 794-5621
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
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Other Identifiers 2

Medicaid267667200FL
OtherU1254XFL · Medicare

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include First Choice Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dominique Mesidor Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769462365
PECOS Enrollment IDI20110228000446
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida Fort Walton-Destin Hospital

Acute Care Hospitals · Fort Walton Beach, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100223
Location1000 Mar-Walt DrFort Walton Beach, FL 32547 · Okaloosa County
Emergency services Birthing friendly

Mercy Health System Corp

Acute Care Hospitals · Janesville, WI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number520066
Location1000 Mineral Point AveJanesville, WI 53548 · Rock County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LAURA ANN MARTIN CRNA
Nurse Anesthetist, Certified Registered
2010 59TH ST W, STE 5600
BRADENTON, FL 34209
Manatee County (941) 798-3524
TOBIAS QUINTON GIBSON MD
Anesthesiology
2010 59TH ST W, STE 5600
BRADENTON, FL 34209
Manatee County (941) 798-3524
CHASITY KENTROS
Nurse Anesthetist, Certified Registered
2010 59TH ST W, #4650
BRADENTON, FL 34209
Manatee County (941) 798-3524
JASON ALEXANDRE JAFFE
Physician Assistant (Medical)
2010 59TH ST W, SUITE 2200
BRADENTON, FL 34209
Manatee County (941) 794-5621
MUSCULOSKELETAL INSTITUTE CHARTERED
Clinic/Center (Multi-Specialty)
2010 59TH ST W, SUITE 2200
BRADENTON, FL 34209
Manatee County (813) 978-9700
MR. RAJ T RAJAN M.D.
Internal Medicine (Cardiovascular Disease)
2010 59TH ST W, SUITE #4200
BRADENTON, FL 34209
Manatee County (941) 794-3999
DR. ALYSSA IMPERATORE ZIEHM DO
Surgery (Surgical Critical Care)
2010 59TH ST W
BRADENTON, FL 34209
Manatee County (941) 794-5621
GEORGIANNA MAY ABELLANA CRNA
Nurse Anesthetist, Certified Registered
2010 59TH ST W, STE 5600
BRADENTON, FL 34209
Manatee County (941) 798-3524

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dominique Mesidor's NPI number?

The NPI number for Dominique Mesidor is 1033205091. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Dominique Mesidor located?

Dominique Mesidor practices at 2010 59th St W Suite 2200, Bradenton, FL 34209. The listed phone number is (941) 794-5621.

What is Dominique Mesidor's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Surgical Critical Care, with taxonomy code 2086S0102X.

Is Dominique Mesidor enrolled in Medicare?

Yes. Dominique Mesidor is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Dominique Mesidor accept?

Health plans from First Choice Next, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Dominique Mesidor as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dominique Mesidor affiliated with any hospitals?

According to CMS data, Dominique Mesidor is affiliated with Hca Florida Fort Walton-Destin Hospital and Mercy Health System Corp.

When was this NPI record last updated?

The NPPES record for Dominique Mesidor was last updated on November 1, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.