DR. DOMINIQUE MESIDOR MD
NPI 1033205091
Surgery - Surgical Critical Care in Bradenton, FL
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
Specialties & Licenses 2
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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.
Medicare Billing Reassignments
2Medicare enrollment records show Dominique Mesidor reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Columbus, GA 31901
- Reassigned Medicare billing, Georgia enrollment
- 292 clinicians in this Medicare group
Janesville, WI 53548
- Reassigned Medicare billing, Wisconsin enrollment
- 1,155 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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, FLMercy Health System Corp
Acute Care Hospitals · Janesville, WIOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BRADENTON, FL 34209
BRADENTON, FL 34209
BRADENTON, FL 34209
BRADENTON, FL 34209
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.
Which organizations bill Medicare for Dominique Mesidor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dominique Mesidor reassigns Medicare benefits to 2 organizations: St Francis Physician Practices LLC (Columbus, GA) and Mercy Health System Corporation (Janesville, WI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dominique Mesidor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dominique Mesidor accept?
Health plans from First Choice Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida 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 9 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.
# Dr. Dominique Mesidor, MD · NPI 1033205091
Surgical Critical Care physician in Bradenton, Florida. Individual provider, active in the CMS NPPES registry since October 5, 2006.
## Identity
- **NPI:** 1033205091 (Entity type: Individual)
- **Enumerated:** October 5, 2006
- **Primary specialty:** Surgery - Surgical Critical Care · taxonomy 2086S0102X
- **State license:** 044539 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 2010 59TH ST W, SUITE 2200, Bradenton, FL 34209-4616
- **Phone:** (941) 794-5621 · **Fax:** (941) 761-1532
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): St Francis Physician Practices LLC (NPI 1124493564, Columbus, GA); Mercy Health System Corporation (NPI 1598718603, Janesville, WI) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1984
## Record status
- **NPPES last updated:** November 1, 2017
- **Other identifiers:** Medicaid 267667200 (FL); Other U1254X (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1033205091) · Data from the CMS NPPES public registry.