ISRAEL JESUS MENDEZ BERMUDEZ – Ophthalmology Physician, NPI 1033619630

ISRAEL JESUS MENDEZ BERMUDEZ is a healthcare provider. based in Middle river, Maryland. specializing in OPHTHALMOLOGY. They hold a License No. D0100774 (MD). The NPI Number for ISRAEL JESUS MENDEZ BERMUDEZ is 1033619630

Main info

Male
6 Years Of Experience
Accepts Medicare Assignment
Name
ISRAEL JESUS MENDEZ BERMUDEZ
NPI
1033619630
Phone
(410) 933-2704
Address
6201 GREENLEIGH AVE
Enumeration Date
20 February 2018
Last Update Date
21 April 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7877813020
Graduation Year
2020 (6 years ago)
PAC ID
8426595802
Group Practice PAC ID
4587655204
Professional Enrollment ID
I20250606001563
Address ID
PR009211722SA1114XPINE500
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

666 OPHTHALMOLOGY in MD

Provider Addresses for ISRAEL JESUS MENDEZ BERMUDEZ

  • 6201 GREENLEIGH AVE

    MIDDLE RIVER, MD 212202004

    Phone: (410) 933-2704

    Type: Mailing

  • 600 N WOLFE ST

    BALTIMORE, MD 212642724

    Phone: (410) 955-5080

    Type: Location

  • 1800 Orleans St

    Baltimore, MD 212870010

    Phone: (410) 502-2037

    Fax: (410) 955-0737

    Type: Location

  • 1112 Ave Jesus T Pinero

    San Juan, PR 009211722

    Phone: (787) 781-3020

    Type: Location

  • 1641, Calle Dalia, Urbanización Round Hill, Saint Just, St. Just, Trujillo Alto, Puerto Rico, 00976, United States

    TRUJILLO ALTO, PR 009762734

    Phone: (787) 308-4128

    Type: Mailing

  • 1156, Calle 62 SE, Reparto Metropolitano, Puerto Nuevo, San Juan, Puerto Rico, 00921, United States

    SAN JUAN, PR 009212724

    Phone: (787) 758-2525

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 41 Open Payments records for all available years, with a total value of $1,251.

Total Amount is formed as General ($1,251) + Research ($0) + Ownership ($0) = $1,251.

Last reported payment date: 2024-06-13 • Largest payer in this snapshot: ABBVIE INC. ($647).

Total Amount

$1,251

General + Research + Ownership

Payments

41

Total payment records

General Amount

$1,251

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-06-13

Latest reported date

Top Companies

Largest payers in this snapshot

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: 2025-06-06

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
I20250606001563IOphthalmologyPRTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 21220)

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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: 4587655204View full group profile
NameSpecialtyState
O P H T H A L M O L O G YTX
O P H T H A L M O L O G YPR
O P H T H A L M O L O G YPR
-PR
O P H T H A L M O L O G YPR
O P H T H A L M O L O G YPR
O P H T H A L M O L O G YPR
O P H T H A L M O L O G YPR
O P H T H A L M O L O G YPR
O P H T H A L M O L O G YPR

Reviews

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Frequently asked questions

What unique ID ties claims to ISRAEL JESUS MENDEZ BERMUDEZ?
NPI 1033619630 is assigned to ISRAEL JESUS MENDEZ BERMUDEZ under the national enumeration system.
Is ISRAEL JESUS MENDEZ BERMUDEZ currently active in the NPI registry?
CMS-published data lists ISRAEL JESUS MENDEZ BERMUDEZ as an active registrant.
What kind of provider is ISRAEL JESUS MENDEZ BERMUDEZ?
The page reflects Ophthalmology Physician for ISRAEL JESUS MENDEZ BERMUDEZ. Clinical services aligned with this taxonomy classification.
What location shows for ISRAEL JESUS MENDEZ BERMUDEZ?
We surface Middle River, Maryland for ISRAEL JESUS MENDEZ BERMUDEZ based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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