LUIS J MESA MD PA
NPI 1154048049
Internal Medicine in Hallandale Beach, FL

Active since October 21, 2022CLIA 10D2351871 · Waiver
1250 E HALLANDALE BEACH BLVD # 205A, HALLANDALE BEACH, FL 33009(954) 544-5979(954) 404-7296 Get Directions Write a Review

NPPES record last updated: August 7, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 7, 2023, Oct 27, 2022, Oct 21, 2022 (3 updates tracked since 2022).

About Luis J Mesa Md Pa NPPES

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

LUIS J MESA MD PA (NPI 1154048049) is a healthcare organization registered as an internal medicine in Hallandale Beach, Florida and active in the NPI registry since October 2022. The organization holds a CLIA Waiver certificate valid through October 4, 2028 and lists Luis J Mesa Correa, Owner, as its authorized official.

NPPES Registry Identity

NPI1154048049
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameLUIS J MESA MD PA
Location Address1250 E HALLANDALE BEACH BLVD # 205AHallandale Beach, FL 33009-4634
Mailing Address1250 E Hallandale Beach Blvd # 205aHallandale Beach, FL 33009-4634 · (954) 544-5979 · Fax (954) 404-7296
Fax(954) 404-7296
Organization SubpartNo
Authorized OfficialLuis J Mesa CorreaOwner · (305) 318-7056
Enumeration DateOctober 21, 2022
Last NPPES UpdateAugust 7, 20233 updates tracked since enumeration
NPPES CertifiedAugust 7, 2023
✔ NPI 1154048049 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1250 E HALLANDALE BEACH BLVD # 205A, Hallandale Beach, FL 33009

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luis J Mesa Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Luis J Mesa MD PA, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1649292707
1250 E HALLANDALE BEACH BLVD STE 205A
Hallandale Beach, FL 33009
(954) 544-5979
✔ PECOSSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 10D2351871

Luis J Mesa, MD PA · Hallandale Beach, FL
Active · expires Oct 4, 2028
CLIA Number10D2351871
Laboratory TypeCommunity Clinic
Certificate Effective DateOctober 5, 2026
Certificate Expiration DateOctober 4, 2028
Laboratory DirectorLuis J. Mesa
Laboratory Phone(954) 544-5979
Laboratory LocationLuis J Mesa, MD PA1250 E Hallandale Beach Blvd, Suite 250A, Hallandale Beach, FL 33009
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Luis J Mesa MD PA's NPI number?

The NPI number for Luis J Mesa MD PA is 1154048049. It was assigned to this organization in the NPPES registry on October 21, 2022.

Where is Luis J Mesa MD PA located?

Luis J Mesa MD PA is located at 1250 E Hallandale Beach Blvd # 205A, Hallandale Beach, FL 33009. The listed phone number is (954) 544-5979.

What is Luis J Mesa MD PA's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Luis J Mesa MD PA enrolled in Medicare?

Yes. Luis J Mesa MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Luis J Mesa MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Luis J Mesa MD PA. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Luis J Mesa MD PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 10D2351871) is associated with this NPI, valid through October 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Luis J Mesa MD PA accept?

Health plans from AmeriHealth Caritas Next and AvMed list Luis J Mesa MD PA 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.

When was this NPI record last updated?

The NPPES record for Luis J Mesa MD PA was last updated on August 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.