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NINOSHKA MENDONCA MD
NPI 1023711371
Student in an Organized Health Care Education/Training Program in Saint Louis, MO

Active since March 24, 2023PECOS Enrolled
1465 S GRAND BLVD RM 2717, SAINT LOUIS, MO 63104(314) 577-5634(314) 577-5616 Get Directions Write a Review

NPPES record last updated: March 24, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Ninoshka Mendonca Md NPPES

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

NINOSHKA MENDONCA MD (NPI 1023711371) is an individual student in an organized health care education/training program in Saint Louis, Missouri and active in the NPI registry since March 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1023711371
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameNINOSHKA MENDONCACredential: MD
Location Address1465 S GRAND BLVD RM 2717Saint Louis, MO 63104-1003
Mailing Address1465 S Grand Blvd Rm 2717Saint Louis, MO 63104-1003 · (314) 577-5634 · Fax (314) 577-5616
Phone(314) 577-5634
Fax(314) 577-5616
Sole ProprietorNo
Enumeration DateMarch 24, 2023
NPPES CertifiedMarch 24, 2023
✔ NPI 1023711371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1465 S GRAND BLVD RM 2717, Saint Louis, MO 63104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ninoshka Mendonca Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MR. RYAN ANTHONY WONG MD
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD RM 2717
SAINT LOUIS, MO 63104
St. Louis City (314) 268-4070
LESLIE J DAVIS D.O.
Pediatrics
1465 S GRAND BLVD RM 2717, 1465 SOUTH GRAND BLVD, RM 2717
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5634
DOMINIC BISESI DO
Emergency Medicine
1465 S GRAND BLVD RM 2717
SAINT LOUIS, MO 63104
St. Louis City (314) 268-4070
CHRISTOPHER PATRICK CALLAHAN MD
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD RM 2717
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5634
DR. KAYKAY SAN DO
Pediatrics
1465 S GRAND BLVD RM 2717
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5634
AMANI FIRDOUZE ASHRAF MD
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD RM 2717
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5634
MRS. ELIZABETH MCCARTER NOONAN M.D.
Pediatrics
1465 S GRAND BLVD RM 2717, 1465 SOUTH GRAND BLVD, RM 2717
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5634
DR. LILIA BURNS MD
Student in an Organized Health Care Education/Training Program
1465 S GRAND BLVD RM 2717
SAINT LOUIS, MO 63104
St. Louis City (314) 577-5634

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 Ninoshka Mendonca's NPI number?

The NPI number for Ninoshka Mendonca is 1023711371. It was assigned to this individual provider in the NPPES registry on March 24, 2023.

Where is Ninoshka Mendonca located?

Ninoshka Mendonca practices at 1465 S Grand Blvd Rm 2717, Saint Louis, MO 63104. The listed phone number is (314) 577-5634.

What is Ninoshka Mendonca's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ninoshka Mendonca enrolled in Medicare?

Yes. Ninoshka Mendonca is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ninoshka Mendonca was last updated on March 24, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.