NICHOLAS MENCER DO
NPI 1053871053
Internal Medicine - Cardiovascular Disease in Maywood, IL

Q: What is Nicholas Mencer's NPI number?

The NPI number for Nicholas Mencer is 1053871053. It was assigned to this individual provider in the NPPES registry on March 25, 2019.

Q: What is Nicholas Mencer's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Mencer was last updated on May 9, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 25, 2019PECOS Enrolled

2160 S 1ST AVE, MAYWOOD, IL 60153(708) 216-5140 Get Directions Write a Review

NPPES record last updated: May 9, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 9, 2025, Jun 11, 2024, Oct 2, 2023 (3 updates tracked since 2023).

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About Nicholas Mencer Do NPPES

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

NICHOLAS MENCER DO (NPI 1053871053) is an individual cardiovascular disease provider in Maywood, Illinois, licensed in Illinois (036.173277) and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053871053

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameNICHOLAS MENCERCredential: DO

Location Address2160 S 1ST AVEMaywood, IL 60153-3328

Mailing Address2160 S 1st AveMaywood, IL 60153-3328 · (708) 216-5140

Phone(708) 216-5140

Sole ProprietorNo

Enumeration DateMarch 25, 2019

Last NPPES UpdateMay 9, 20253 updates tracked since enumeration

NPPES CertifiedMay 9, 2025

✔ NPI 1053871053 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in IL · 036.173277

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License OS18447 (FL)

2160 S 1ST AVE, Maywood, IL 60153

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health Maintenance Organization of Florida.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicholas Mencer Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60153 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$138.86 typical visit price

range $60.08 – $183.39

Typical copayment $34.71 (range $15.02 – $45.84)

Most-billed visit code 99204

Established Patient

$74.80 typical visit price

range $18.97 – $148.12

Typical copayment $18.70 (range $4.74 – $37.03)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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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.

ANITA OZA NAGAMINE M.D.

Radiology (Diagnostic Radiology)