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

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: October 25, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Molina Healthcare and more.Insurance ›

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

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.

Medicare Billing Reassignments

9

Medicare enrollment records show Otto Marquez Mendoza reassigns Medicare billing to 9 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Otto Marquez MD PA
Same address
Family Medicine
13801 SW 34TH ST
Miami, FL 33175
  • Reassigned Medicare billing, Florida enrollment
NPI 1730546565 (305) 431-1376
One Care Medical Center Inc
6.7 mi
Multi-Specialty
7171 SW 24TH ST STE 417
Miami, FL 33155
  • Reassigned Medicare billing, Florida enrollment
  • 4 clinicians in this Medicare group
NPI 1033770524 (305) 200-3488
Qmc LLC
9.1 mi
Hospitalist
5201 BLUE LAGOON DR FL 89
Miami, FL 33126
  • Reassigned Medicare billing, Florida enrollment
  • 183 clinicians in this Medicare group
NPI 1003216391 (305) 554-1700
Sunshine Community & Behavior Services Corp
20 mi
Community/Behavioral Health
33550 S DIXIE HWY STE 106
Florida City, FL 33034
  • Reassigned Medicare billing, Florida enrollment
  • 5 clinicians in this Medicare group
NPI 1629602263 (305) 431-1376
Florida Hospital Medicine Services, LLC.
65 mi
Hospitalist
21644 STATE ROAD 7
Boca Raton, FL 33428
  • Reassigned Medicare billing, Florida enrollment
  • 516 clinicians in this Medicare group
NPI 1508873183 (561) 488-8000
Florida Post Acute Medical Services 1 PA
201 mi
Hospitalist
2730 W WILDER AVE
Tampa, FL 33614
  • Reassigned Medicare billing, Florida enrollment
  • 129 clinicians in this Medicare group
NPI 1255862439 (813) 766-4018
Inpatient Consultants Of Florida Inc
204 mi
Hospitalist
3550 BUSCHWOOD PARK DR, SUITE 350
Tampa, FL 33618
  • Reassigned Medicare billing, Florida enrollment
  • 903 clinicians in this Medicare group
NPI 1457511164 (813) 936-5000
Radial Health Southeast LLC
507 mi
Physical Medicine & Rehabilitation
2045 FOUNTAIN PROFESSIONAL CT STE A
Navarre, FL 32566
  • Reassigned Medicare billing, Florida enrollment
  • 160 clinicians in this Medicare group
NPI 1174159891 (850) 494-3212
First Docs PC
1,188 mi
Internal Medicine
1525 OXFORD LN
Naperville, IL 60565
  • Reassigned Medicare billing, Florida enrollment
  • 390 clinicians in this Medicare group
NPI 1417655465 (702) 762-2485

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 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.

Which organizations bill Medicare for Otto Marquez Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Otto Marquez Mendoza reassigns Medicare benefits to 9 organizations: Otto Marquez MD PA (Miami, FL), One Care Medical Center Inc (Miami, FL), Qmc LLC (Miami, FL), Sunshine Community & Behavior Services Corp (Florida City, FL), Florida Hospital Medicine Services, LLC. (Boca Raton, FL) and 4 more organizations, listed in the Medicare section above. Each 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 Otto Marquez Mendoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Otto Marquez Mendoza accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Molina Healthcare, Oscar Health and Oscar Health Maintenance Organization of Florida and 1 other insurer 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.