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ANSELMO MANUEL MENDIVE, MD. PA.
NPI 1619011228
Family Medicine in Miami Gardens, FL

Active since February 16, 2007
4601 NW 199TH ST, SUITE E, MIAMI GARDENS, FL 33055(305) 801-7030(305) 623-7044 Get Directions Write a Review

NPPES record last updated: January 31, 2012. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Anselmo Manuel Mendive, Md. Pa. NPPES

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

ANSELMO MANUEL MENDIVE, MD. PA. (NPI 1619011228) is a healthcare organization registered as a family medicine in Miami Gardens, Florida and active in the NPI registry since February 2007. The organization lists Yin Garcia, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1619011228
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameANSELMO MANUEL MENDIVE, MD. PA.
Location Address4601 NW 199TH ST, SUITE EMiami Gardens, FL 33055-1508
Mailing Address4601 Nw 199th St, Suite EMiami Gardens, FL 33055-1508 · (305) 801-7030 · Fax (305) 623-7044
Phone(305) 801-7030
Fax(305) 623-7044
Organization SubpartNo
Authorized OfficialYin GarciaOffice Manager · (305) 801-7030
Enumeration DateFebruary 16, 2007
Last NPPES UpdateJanuary 31, 2012
✔ NPI 1619011228 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME56412
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4601 NW 199TH ST, Miami Gardens, FL 33055
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Other Identifiers 3

Medicaid048992101FL
Medicare PIN08462FL
Medicaid048992100FL

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)

Anselmo Manuel Mendive, 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 Anselmo Manuel Mendive, MD. PA., which bills Medicare for the services this clinician delivers.

Clinician (1)

Anselmo Mendive, MD
Family Practice
NPI 1427229384
4601 NW 199TH ST SUITE E
Miami Gardens, FL 33055
(305) 801-7030
✔ PECOS✔ Accepts MedicareSame address

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 Anselmo Manuel Mendive, MD. PA.'s NPI number?

The NPI number for Anselmo Manuel Mendive, MD. PA. is 1619011228. It was assigned to this organization in the NPPES registry on February 16, 2007.

Where is Anselmo Manuel Mendive, MD. PA. located?

Anselmo Manuel Mendive, MD. PA. is located at 4601 NW 199th St Suite E, Miami Gardens, FL 33055. The listed phone number is (305) 801-7030.

What is Anselmo Manuel Mendive, MD. PA.'s specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Anselmo Manuel Mendive, MD. PA. enrolled in Medicare?

Yes. Anselmo Manuel Mendive, MD. PA. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Anselmo Manuel Mendive, MD. PA.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Anselmo Manuel Mendive, 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.

When was this NPI record last updated?

The NPPES record for Anselmo Manuel Mendive, MD. PA. was last updated on January 31, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.