JOSE MENDEZ MD PA
NPI 1407100951
Clinic/Center - Adult Mental Health in Orlando, FL

Active since November 06, 2012
8615 COMMODITY CIR STE 12, ORLANDO, FL 32819(407) 476-1212(407) 476-1213 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Jose Mendez Md Pa NPPES

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

JOSE MENDEZ MD PA (NPI 1407100951) is a healthcare organization registered as an adult mental health in Orlando, Florida and active in the NPI registry since November 2012. The organization maintains a secondary practice location in Kissimmee and lists Jose Y Mendez, President, as its authorized official.

NPPES Registry Identity

NPI1407100951
Entity TypeOrganization
Primary Taxonomy261QM0850X
Legal Business NameJOSE MENDEZ MD PA
Location Address8615 COMMODITY CIR STE 12Orlando, FL 32819
Mailing Address8615 Commodity Cir Ste 12Orlando, FL 32819-9072 · (407) 476-1212 · Fax (407) 476-1213
Fax(407) 476-1213
Organization SubpartNo
Authorized OfficialJose Y MendezPresident · (407) 738-3030
Enumeration DateNovember 6, 2012
Last NPPES UpdateJuly 30, 2020
NPPES CertifiedJuly 30, 2020
✔ NPI 1407100951 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0850X
License✔ Licensed in FL · ME107982
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal MedicineTaxonomy 207R00000X
8615 COMMODITY CIR STE 12, Orlando, FL 32819

Secondary Practice Location 1

Location 12311 N Orange Blossom TrlKissimmee, FL 34744-2313 · Phone (407) 957-9077 · Fax (888) 702-0079

Other Identifiers 2

Other14M9EFL · Florida Blue
Medicaid005210100FL

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Mendez Md Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Jose Mendez MD PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address. They are listed nearest first.

Clinicians, nearest first (2)

Psychiatry
NPI 1912195017
8615 COMMODITY CIR SUITE 12
Orlando, FL 32819
(407) 476-1212
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1669702270
3993 W 1ST ST
Sanford, FL 32771
(407) 732-4272
✔ PECOS✔ Accepts Medicare26 mi

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

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 Jose Mendez MD PA's NPI number?

The NPI number for Jose Mendez MD PA is 1407100951. It was assigned to this organization in the NPPES registry on November 6, 2012.

Where is Jose Mendez MD PA located?

Jose Mendez MD PA is located at 8615 Commodity Cir Ste 12, Orlando, FL 32819. The listed phone number is (407) 476-1212.

What is Jose Mendez MD PA's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Is Jose Mendez MD PA enrolled in Medicare?

Yes. Jose Mendez MD PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Jose Mendez MD PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Jose Mendez MD PA, in Nurse Practitioner and Psychiatry. 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. Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Jose Mendez MD PA was last updated on July 30, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.