ANTONIO ENRIQUE GUTIERREZ MENDIOLA MD
NPI 1134742182
Family Medicine in Plantation, FL
About Antonio Enrique Gutierrez Mendiola Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ANTONIO ENRIQUE GUTIERREZ MENDIOLA MD (NPI 1134742182) is an individual family medicine provider in Plantation, Florida, licensed in Florida (ME168251) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital West, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses 2
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
Antonio Enrique Gutierrez Mendiola 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 Reassignment
Medicare enrollment records show Antonio Gutierrez Mendiola reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Miami, FL 33126
- Reassigned Medicare billing, Florida enrollment
- 535 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.
Areas of Expertise CMS Part B claims
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital West
Acute Care Hospitals · Pembroke Pines, FLMemorial Hospital Miramar
Acute Care Hospitals · Miramar, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33324 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PLANTATION, FL 33324
PLANTATION, FL 33324
PLANTATION, FL 33324
PLANTATION, FL 33324
PLANTATION, FL 33324
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 Antonio Gutierrez Mendiola's NPI number?
The NPI number for Antonio Gutierrez Mendiola is 1134742182. It was assigned to this individual provider in the NPPES registry on May 26, 2020.
Where is Antonio Gutierrez Mendiola located?
Antonio Gutierrez Mendiola practices at 1200 S Pine Island Rd Ste 350, Plantation, FL 33324. The listed phone number is (954) 624-7900.
What is Antonio Gutierrez Mendiola's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Antonio Gutierrez Mendiola enrolled in Medicare?
Yes. Antonio Gutierrez Mendiola 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 organization bills Medicare for Antonio Gutierrez Mendiola's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Antonio Gutierrez Mendiola reassigns Medicare benefits to Conviva Medical Center Management LLC (Miami, FL). The 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 Antonio Gutierrez Mendiola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Antonio Gutierrez Mendiola affiliated with any hospitals?
According to CMS data, Antonio Gutierrez Mendiola is affiliated with Memorial Hospital West and Memorial Hospital Miramar.
When was this NPI record last updated?
The NPPES record for Antonio Gutierrez Mendiola was last updated on September 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 31 days 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.
# Antonio Enrique Gutierrez Mendiola, MD · NPI 1134742182
Family Medicine physician in Plantation, Florida. Individual provider, active in the CMS NPPES registry since May 26, 2020.
## Identity
- **NPI:** 1134742182 (Entity type: Individual)
- **Enumerated:** May 26, 2020
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** ME168251 (Florida)
- **Sole proprietor:** No
## Practice location
- **Address:** 1200 S PINE ISLAND RD STE 350, Plantation, FL 33324-4409
- **Phone:** (954) 624-7900
## 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:** Conviva Medical Center Management LLC (NPI 1649324278, Miami, FL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** September 25, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1134742182) · Data from the CMS NPPES public registry.