OSCAR G III MENDOZA (AA) – Anesthesiologist Assistant, NPI 1063665651

OSCAR G III MENDOZA (AA) is a healthcare provider. based in Clearwater, Florida. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials AA. They hold a License No. AA24 (FL). The NPI Number for OSCAR G III MENDOZA (AA) is 1063665651

Main info

Male
18 Years Of Experience
Accepts Medicare Assignment
Name
OSCAR G III MENDOZA (AA)
NPI
1063665651
Phone
(727) 441-1524
Address
300 JEFFORDS ST
Enumeration Date
28 October 2008
Last Update Date
6 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4076467000
Graduation Year
2008 (18 years ago)
PAC ID
5092876474
Group Practice PAC ID
0345143152
Professional Enrollment ID
I20081203000591
Address ID
FL327923273WI200XXAVEX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:17State licenses:1Digital endpointsOther names

936 ANESTHESIOLOGY ASSISTANT in FL

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Provider Addresses for OSCAR G III MENDOZA (AA)

  • 300, Jeffords Street, Clearwater, Pinellas County, Florida, 33756, United States

    SUITE B

    CLEARWATER, FL 337563810

    Phone: (727) 441-1524

    Fax: (727) 443-4206

    Type: Location

  • 1321 UPLAND DR

    HOUSTON, TX 770434718

    Phone: (305) 205-4701

    Fax: (727) 443-4206

    Type: Mailing

  • 1755 CURIE DR

    EL PASO, TX 799022919

    Phone: (305) 205-4701

    Fax: (727) 443-4206

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-04-02

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081203000591IAnesthesiology AssistantFLTBD
I20250402003347IAnesthesiology AssistantCOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00731Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope2725$0
00811Anesthesia for other procedure on large bowel using an endoscope1717$0
View full utilization report →

Insurance plans in this area (ZIP 33756)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345143152View full group profile
NameSpecialtyState
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
A N E S T H E S I O L O G YFL
A N E S T H E S I O L O G YFL
-FL
-FL

Reviews

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Frequently asked questions

What is the standard ID for OSCAR G III MENDOZA (AA) in the U.S.?
In the U.S., OSCAR G III MENDOZA (AA) is identified by NPI 1063665651.
Does the public listing show OSCAR G III MENDOZA (AA) as active?
OSCAR G III MENDOZA (AA)'s NPI record reflects an active status in NPPES.
How should patients interpret OSCAR G III MENDOZA (AA)'s specialty?
The extract shows Anesthesiologist Assistant for OSCAR G III MENDOZA (AA). Clinical services aligned with this taxonomy classification.
What city is tied to OSCAR G III MENDOZA (AA)?
The directory associates OSCAR G III MENDOZA (AA) with Clearwater, Florida. Check all listed addresses for suites or satellite offices.
Why is information missing for OSCAR G III MENDOZA (AA)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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