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DR. PIA MAGDALENA RAMO MENDOZA M.D.
NPI 1003203472
Pathology - Anatomic Pathology & Clinical Pathology in Atlanta, GA

Active since April 23, 2015PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
303 PARKWAY DR NE, ATLANTA, GA 30312(404) 265-4115(404) 265-6265 Get Directions Write a Review

NPPES record last updated: October 27, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Pia Magdalena Ramo Mendoza M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. PIA MAGDALENA RAMO MENDOZA M.D. (NPI 1003203472) is an individual anatomic pathology & clinical pathology provider in Atlanta, Georgia, licensed in Georgia (82077) and active in the NPI registry since April 2015. She is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1003203472
Entity TypeIndividualFemale
Primary Taxonomy207ZP0102X
Provider Legal NameDR. PIA MAGDALENA RAMO MENDOZACredential: M.D.
Location Address303 PARKWAY DR NEAtlanta, GA 30312-1212
Mailing Address303 Parkway Dr NeAtlanta, GA 30312-1212 · (404) 265-4115 · Fax (404) 265-6265
Phone(404) 265-4115
Fax(404) 265-6265
Sole ProprietorYes
Medical School CMSOtherGraduated 2006
Enumeration DateApril 23, 2015
Last NPPES UpdateOctober 27, 2021
NPPES CertifiedOctober 27, 2021
✔ NPI 1003203472 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License✔ Licensed in GA · 82077
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
303 PARKWAY DR NE, Atlanta, GA 30312
Open in Google Maps ↗

Secondary Practice Location 1

Location 11364 Clifton Rd NEAtlanta, GA 30322-1059 · Phone (404) 712-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Pia Magdalena Ramo Mendoza M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6709295934
PECOS Enrollment IDI20210429001155
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

2

Medicare enrollment records show Pia Magdalena Mendoza reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Emory Medical Care Foundation Inc
0.7 mi
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
NPI 1063452381 (404) 778-7717
The Emory Clinic Inc
3.6 mi
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
NPI 1396798229 (404) 778-2144

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
271 services166 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
152 services43 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
81 services68 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
54 services49 patients
Pathology examination of tissue using a microscope, moderately high complexity 88307
A pathology examination of tissue with moderate complexity involves a detailed study of a small tissue sample from your body. Using a microscope, experts analyze the tissue's structure and cells to identify any abnormalities. This helps in diagnosing various health conditions accurately.
42 services32 patients
Special stained specimen slides to examine tissue including interpretation and report 88313
Special stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
39 services29 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30312 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SAVANNAH ELIZABETH EICHHORN
Student in an Organized Health Care Education/Training Program
303 PARKWAY DR NE
ATLANTA, GA 30312
Fulton County (404) 265-4627
DR. ALEXANDR BABAYEUSKI MD
Internal Medicine
303 PARKWAY DR NE, GME-INTERNAL MEDICINE
ATLANTA, GA 30312
Fulton County (404) 265-4919
DR. BIRUK TASSEW MENGISTU MD
Internal Medicine
303 PARKWAY DR NE
ATLANTA, GA 30312
Fulton County (404) 265-4919
MR. GREGORY C. DAVIS PA
Physician Assistant
303 PARKWAY DR NE, ER DEPT
ATLANTA, GA 30312
Fulton County (404) 265-4136
DR. JANA BECKETT SMITH M.D.
Emergency Medicine
303 PARKWAY DR NE
ATLANTA, GA 30312
Fulton County (404) 265-4136
ROBERT HINTON PA
Anesthesiologist Assistant
303 PARKWAY DR NE, PMB 404
ATLANTA, GA 30312
Fulton County (404) 265-4520
AZZA ELAMIN M.D
Student in an Organized Health Care Education/Training Program
303 PARKWAY DR NE
ATLANTA, GA 30312
Fulton County (470) 819-1247
ZACHARY NICHOLAS ILLG
Emergency Medicine
303 PARKWAY DR NE
ATLANTA, GA 30312
Fulton County (404) 265-4000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pia Magdalena Mendoza's NPI number?

The NPI number for Pia Magdalena Mendoza is 1003203472. It was assigned to this individual provider in the NPPES registry on April 23, 2015.

Where is Pia Magdalena Mendoza located?

Pia Magdalena Mendoza practices at 303 Parkway Dr NE, Atlanta, GA 30312. The listed phone number is (404) 265-4115.

What is Pia Magdalena Mendoza's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Pia Magdalena Mendoza enrolled in Medicare?

Yes. Pia Magdalena Mendoza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Pia Magdalena Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pia Magdalena Mendoza reassigns Medicare benefits to 2 organizations: Emory Medical Care Foundation Inc (Atlanta, GA) and The Emory Clinic Inc (Atlanta, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Pia Magdalena Mendoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pia Magdalena Mendoza accept?

Health plans from Oscar Health list Pia Magdalena Mendoza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Pia Magdalena Mendoza affiliated with any hospitals?

According to CMS data, Pia Magdalena Mendoza is affiliated with Emory University Hospital and Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Pia Magdalena Mendoza was last updated on October 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.