DR. JUAN C. MEJIA (MD) – Surgery Physician, NPI 1588848428

DR. JUAN C. MEJIA (MD) is a healthcare provider. based in Liberty lake, Washington. specializing in GENERAL SURGERY, SURGICAL ONCOLOGY. They hold the professional credentials MD. They hold a License No. 60329943 (WA). The NPI Number for DR. JUAN C. MEJIA (MD) is 1588848428

Main info

Male
22 Years Of Experience
Accepts Medicare Assignment
Name
DR. JUAN C. MEJIA (MD)
NPI
1588848428
Phone
(866) 747-2455
Address
PO BOX 421
Enumeration Date
27 December 2007
Last Update Date
18 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4067286520
Graduation Year
2004 (22 years ago)
PAC ID
1951562032
Group Practice PAC ID
6608786306
Professional Enrollment ID
I20160401001358
Address ID
MT598024003MI500XXSTXX402
Telehealth
Yes

Contacts

Secure Messaging
jmejia301096@wm.providencedirect.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience79
Completeness85
Years active:18State licenses:2Other namesUpdated within 12 months

826 GENERAL SURGERY in WA

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Provider Addresses for DR. JUAN C. MEJIA (MD)

  • 421, Liberty Lane, Evesham Township, Burlington County, New Jersey, 08053-5344, United States

    LIBERTY LAKE, WA 990190421

    Phone: (866) 747-2455

    Type: Mailing

  • 105, West 8th Avenue, Spokane, Spokane County, Washington, 99201, United States

    SUITE 7050

    SPOKANE, WA 992042302

    Phone: (509) 252-1711

    Fax: (509) 227-7070

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 12 Open Payments records for all available years, with a total value of $1,861.

Total Amount is formed as General ($1,861) + Research ($0) + Ownership ($0) = $1,861.

Last reported payment date: 2024-10-29 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,728).

Total Amount

$1,861

General + Research + Ownership

Payments

12

Total payment records

General Amount

$1,861

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-29

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: 2018-03-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 3 Medicare enrollment records; no due dates published yet.

Enrollment records

3

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
I20130905000157IGeneral SurgeryWATBD
I20160401001358IGeneral SurgeryMTTBD
I20180312002101IGeneral SurgeryIDTBD

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
99204New patient office or other outpatient visit, 45-59 minutes7979$0
99214Established patient office or other outpatient visit, 30-39 minutes3125$0
99442Telephone medical discussion with physician, 11-20 minutes2118$0
48150Partial removal of pancreas, bile duct, and small bowel with connection of pancreas to small bowel1919$0
76998Ultrasonic guidance during surgery1919$0
View full utilization report →

Insurance plans in this area (ZIP 99019)

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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: 6608786306View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Advanced Heart Failure And Transplant Cardiology, Cardiovascular Disease (Cardiology), Internal MedicineWA
Cardiovascular Disease (Cardiology)MT
-MT
N E P H R O L O G YMT
-MT
Thoracic SurgeryIL
Internal Medicine, HospitalistMT
General Surgery, Colorectal Surgery (Proctology)WI
Internal MedicineID
Nurse PractitionerAK

Reviews

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Frequently asked questions

Can I cross-check DR. JUAN C. MEJIA (MD) using NPI 1588848428?
NPI 1588848428 belongs to DR. JUAN C. MEJIA (MD); compare other details if you need extra assurance.
Is there an active status for DR. JUAN C. MEJIA (MD)?
For scheduling context, DR. JUAN C. MEJIA (MD) is shown as active in the registry.
What kind of doctor is DR. JUAN C. MEJIA (MD)?
DR. JUAN C. MEJIA (MD) is associated with Surgery Physician in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. JUAN C. MEJIA (MD)?
Travel planning: use Liberty Lake, Washington as the reference point for DR. JUAN C. MEJIA (MD), then confirm.
Can I trust this NPI listing for DR. JUAN C. MEJIA (MD)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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