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QUERUBIN POLOCARPIO MENDOZA MD NPI 1568458149


NPI Information

NPI: 1568458149
Provider Name: QUERUBIN POLOCARPIO MENDOZA, MD
Classification: Internal Medicine - 207RC0000X
Entity Type: Individual

Specialization: Cardiovascular Disease

PECOS Registration: Yes

CLIA Number: 10D1064252

Address:
5101 N HABANA AVE
TAMPA, FL
ZIP 33614
Phone: (813) 248-2700
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Querubin Polocarpio Mendoza, MD is a cardiovascular disease internal medicine in Tampa, FL with 36 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Querubin Polocarpio Mendoza, MD NPI is 1568458149. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: GEORGE WASHINGTON UNIVERSITY SCHOOL OF MEDICINE
Graduation Year:1988

The provider's business location address is:

5101 N HABANA AVE
TAMPA, FL
ZIP 33614-818
Phone: (813) 248-2700
Fax: (813) 248-2722

The NPI 1568458149 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 10D1064252 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Ultrasound examination of heart including color-depicted blood flow rate, direction, and valve function (HCPCS:93306)
  • Routine EKG using at least 12 leads including interpretation and report (HCPCS:93000)
  • Nuclear medicine study of vessels of heart using drugs or exercise multiple studies (HCPCS:78452)
  • Evaluation, testing, and programming adjustment of permanent dual lead pacemaker system with physician analysis, review, and report (HCPCS:93280)
  • Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report (HCPCS:93010)

The enumeration date for this NPI number is 9/20/2005 and was last updated on 3/22/2016.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207UN0901XNuclear MedicineNuclear CardiologyME74240FLORIDANo
2207RC0000XInternal MedicineCardiovascular DiseaseME0074240FLORIDAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
114363001OTHERFLORIDACITRUS HEALTH
2176468283681OTHERFLORIDAHUMANA
3254936100MEDICAIDFLORIDA
41210679OTHERFLORIDAAETNA
542448VMEDICARE PINFLORIDA
61018644OTHERFLORIDACAREPLUS
72504898OTHERFLORIDAUNITED HEALTHCARE
8DE6354OTHERFLORIDARR MEDICARE
9$$$$$$$$$OTHERFLORIDATRICARE
100118255OTHERFLORIDAGHI
1142448OTHERFLORIDABLUE CROSS BLUE SHIELD
122250675OTHERFLORIDACIGNA
1322661OTHERFLORIDAAVMED

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.