WILKENS MONDESIR MD, PA – Obstetrics Physician, NPI 1811241003

WILKENS MONDESIR MD, PA is a healthcare provider. based in Greenacres, Florida. specializing in Obstetrics Physician. The organization holds a License No. ME113026 (FL). The NPI Number for WILKENS MONDESIR MD, PA is 1811241003

Main info

Organization
Name
WILKENS MONDESIR MD, PA
NPI
1811241003
Phone
(561) 784-7014
Address
4849 LAKE WORTH RD STE 201
Authorized Official
DR. WILKENS MONDESIR OWNER M.D.
Enumeration Date
9 November 2012
Last Update Date
16 August 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for WILKENS MONDESIR MD, PA

  • 4849 LAKE WORTH RD STE 201

    GREENACRES, FL 334633462

    Phone: (561) 784-7014

    Fax: (561) 784-7922

    Type: Mailing

  • 3717 W Boynton Beach Blvd Ste 5

    Boynton Beach, FL 334364540

    Phone: (561) 734-1212

    Fax: (561) 734-1443

    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: 2013-04-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2025-06-30 (348 days ago).

Enrollment records

1

Earliest due date

2025-06-30

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
O20130423000364OClinic/Group PracticeFL2025-06-30

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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 33463)

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Reviews

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Frequently asked questions

Is WILKENS MONDESIR MD, PA listed with a National Provider Identifier?
Yes — WILKENS MONDESIR MD, PA has NPI 1811241003 on file in the registry.
Is there an active status for WILKENS MONDESIR MD, PA?
For scheduling context, WILKENS MONDESIR MD, PA is shown as active in the registry.
What clinical focus is listed for WILKENS MONDESIR MD, PA?
At a glance, WILKENS MONDESIR MD, PA is tied to Obstetrics Physician. Clinical services aligned with this taxonomy classification.
Is WILKENS MONDESIR MD, PA located near Greenacres?
WILKENS MONDESIR MD, PA currently maps to Greenacres, Florida in this extract.
Can I trust this NPI listing for WILKENS MONDESIR MD, PA?
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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