OTTO MARQUEZ MENDOZA MD PA
NPI 1679950695
Family Medicine in Miami, FL

Q: What is Otto Marquez Mendoza's NPI number?

The NPI number for Otto Marquez Mendoza is 1679950695. It was assigned to this individual provider in the NPPES registry on April 28, 2015.

Q: What is Otto Marquez Mendoza's specialty?

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

Active since April 28, 2015PECOS EnrolledAccepts Medicare Assignment

13801 SW 34TH ST, MIAMI, FL 33175(305) 431-1376(305) 470-1853 Get Directions Write a Review

NPPES record last updated: January 19, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 12, 2021, Feb 26, 2016, Jan 25, 2016 and 1 more (4 updates tracked since 2016).

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About Otto Marquez Mendoza Md Pa NPPES

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

OTTO MARQUEZ MENDOZA MD PA (NPI 1679950695) is an individual family medicine provider in Miami, Florida, licensed in Florida (122562) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1679950695

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameOTTO MARQUEZ MENDOZACredential: MD PA

Location Address13801 SW 34TH STMiami, FL 33175-7210

Mailing Address13801 Sw 34th StMiami, FL 33175-7210 · (305) 431-1376 · Fax (305) 470-1853

Phone(305) 431-1376

Fax(305) 470-1853

Sole ProprietorNo

Medical School CMSOtherGraduated 1998

Enumeration DateApril 28, 2015

Last NPPES UpdateJanuary 19, 20244 updates tracked since enumeration

NPPES CertifiedJanuary 19, 2024

✔ NPI 1679950695 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 · 122562

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.

13801 SW 34TH ST, Miami, FL 33175

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Molina Healthcare, Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Otto Marquez Mendoza Md Pa 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.

PECOS PAC ID2062720055

PECOS Enrollment IDI20150924000581

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.

Areas of Expertise CMS Part B claims 3

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.

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307

A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.

710 services64 patients

Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308

A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.

568 services69 patients

Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

38 services34 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33175 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

$96.13 typical visit price

range $60.92 – $187.05

Typical copayment $24.03 (range $15.23 – $46.76)

Most-billed visit code 99203

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

Most-billed visit code 99214

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

OTTO MARQUEZ MD PA

Family Medicine

13801 SW 34TH ST
MIAMI, FL 33175

Miami-Dade County (305) 431-1376

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 Otto Marquez Mendoza's NPI number?

The NPI number for Otto Marquez Mendoza is 1679950695. It was assigned to this individual provider in the NPPES registry on April 28, 2015.

Where is Otto Marquez Mendoza located?

Otto Marquez Mendoza practices at 13801 SW 34th St, Miami, FL 33175. The listed phone number is (305) 431-1376.

What is Otto Marquez Mendoza's specialty?

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

Is Otto Marquez Mendoza enrolled in Medicare?

Yes. Otto Marquez Mendoza 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.

What insurance does Otto Marquez Mendoza accept?

Health plans from AvMed, Molina Healthcare, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Otto Marquez Mendoza 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 Otto Marquez Mendoza was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.