MIRTA M. MEDEROS-LEZCANO (MD) – Anesthesiology Physician, NPI 1164495289

MIRTA M. MEDEROS-LEZCANO (MD) is a healthcare provider. based in Hollywood, Florida. specializing in ANESTHESIOLOGY. They hold the professional credentials MD. They hold a License No. ME64316 (FL). The NPI Number for MIRTA M. MEDEROS-LEZCANO (MD) is 1164495289

Main info

Female
35 Years Of Experience
Accepts Medicare Assignment
Name
MIRTA M. MEDEROS-LEZCANO (MD)
NPI
1164495289
Phone
Not provided
Address
PO BOX 817737
Enumeration Date
9 February 2006
Last Update Date
26 March 2021

Doctor Profile

Medical School Name
PONCE SCHOOL OF MEDICINE
Secondary Phone
9545875010
Graduation Year
1991 (35 years ago)
PAC ID
7911005301
Group Practice PAC ID
3173429693
Professional Enrollment ID
I20070608000104
Address ID
FL333172835PL401XXAVEX400

Contacts

Secure Messaging
mmederoslezcano12210@mhsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

3,340 ANESTHESIOLOGY in FL

Provider Addresses for MIRTA M. MEDEROS-LEZCANO (MD)

  • Post Box, Hollywood Boulevard, Salisbury Downs, Adelaide, City of Salisbury, South Australia, 5108, Australia

    HOLLYWOOD, FL 330811737

    Phone:

    Type: Mailing

  • 7700 W SUNRISE BLVD # 200

    PLANTATION, FL 333224113

    Phone: (954) 838-2371

    Type: Location

  • Sunrise, Harrison County, Kentucky, United States

    #200

    SUNRISE, FL 333232853

    Phone: (954) 838-2371

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $16.

Total Amount is formed as General ($16) + Research ($0) + Ownership ($0) = $16.

Last reported payment date: 2023-11-08 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($16).

Total Amount

$16

General + Research + Ownership

Payments

1

Total payment records

General Amount

$16

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-08

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$16
View all Open Payments →|Open Payments Risk Radar →

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: 2007-06-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20070608000104IAnesthesiologyFLTBD

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 endoscope2727$0
00811Anesthesia for other procedure on large bowel using an endoscope1414$0
01922Anesthesia for x-ray or radiation therapy1111$0
View full utilization report →

Insurance plans in this area (ZIP 33081)

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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: 3173429693View full group profile
NameSpecialtyState
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
-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
-FL

Reviews

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Frequently asked questions

Does MIRTA M. MEDEROS-LEZCANO (MD) have a public NPI I can cite?
Public records show MIRTA M. MEDEROS-LEZCANO (MD) under NPI 1164495289.
Is MIRTA M. MEDEROS-LEZCANO (MD)'s NPI status active today?
Active status means MIRTA M. MEDEROS-LEZCANO (MD)'s NPI record is not deactivated in the public file.
What does the directory say MIRTA M. MEDEROS-LEZCANO (MD) does?
Insurance directories may phrase it differently, but here MIRTA M. MEDEROS-LEZCANO (MD) maps to Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to MIRTA M. MEDEROS-LEZCANO (MD)?
MIRTA M. MEDEROS-LEZCANO (MD) shows a connection to Hollywood, Florida in registry-derived data.
Why is information missing for MIRTA M. MEDEROS-LEZCANO (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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