MICHAEL ROSOLINO MENDOLA D.O.
NPI 1063618700
Emergency Medicine in Bethpage, NY
About Michael Rosolino Mendola D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL ROSOLINO MENDOLA D.O. (NPI 1063618700) is an individual emergency medicine provider in Bethpage, New York, licensed in New York (244524) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Mcleod Medical Center - Dillon, and is a graduate of New York College Of Osteo Medicine Of New York Institute Of Technology (2003).
NPPES Registry Identity
Specialties & Licenses
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
Michael Rosolino Mendola D.o. 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.
Medicare Billing Reassignments
4Medicare enrollment records show Michael Mendola reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Myrtle Beach, SC 29572
- Reassigned Medicare billing, South Carolina enrollment
- 559 clinicians in this Medicare group
Hartsville, SC 29550
- Reassigned Medicare billing, South Carolina enrollment
- 160 clinicians in this Medicare group
Moncks Corner, SC 29461
- Reassigned Medicare billing, South Carolina enrollment
- 3 clinicians in this Medicare group
Dallas, TX 75244
- Reassigned Medicare billing, South Carolina enrollment
- 311 clinicians in this Medicare group
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 3
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Mcleod Medical Center - Dillon
Acute Care Hospitals · Dillon, SCMcleod Health Clarendon
Acute Care Hospitals · Manning, SCPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11714 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 8
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
BETHPAGE, NY 11714
BETHPAGE, NY 11714
BETHPAGE, NY 11714
BETHPAGE, NY 11714
BETHPAGE, NY 11714
BETHPAGE, NY 11714
BETH PAGE, NY 11714
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 Michael Mendola's NPI number?
The NPI number for Michael Mendola is 1063618700. It was assigned to this individual provider in the NPPES registry on June 21, 2007.
Where is Michael Mendola located?
Michael Mendola practices at 4295 Hempstead Turnpike, Bethpage, NY 11714. The listed phone number is (516) 520-2201.
What is Michael Mendola's specialty?
The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.
Is Michael Mendola enrolled in Medicare?
Yes. Michael Mendola 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 Michael Mendola's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mendola reassigns Medicare benefits to 4 organizations: Acs Primary Care Physicians - Southeast PC (Myrtle Beach, SC), App Of South Carolina Ed PLLC (Hartsville, SC), Yaden Physical And Integrated Medical-LLC (Moncks Corner, SC) and Signify Health Medical Associates, PLLC (Dallas, TX). 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 Michael Mendola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Michael Mendola affiliated with any hospitals?
According to CMS data, Michael Mendola is affiliated with Mcleod Medical Center - Dillon and Mcleod Health Clarendon.
When was this NPI record last updated?
The NPPES record for Michael Mendola was last updated on March 19, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Michael Rosolino Mendola, D.O. · NPI 1063618700
Emergency Medicine physician in Bethpage, New York. Individual provider, active in the CMS NPPES registry since June 21, 2007.
## Identity
- **NPI:** 1063618700 (Entity type: Individual)
- **Enumerated:** June 21, 2007
- **Primary specialty:** Emergency Medicine · taxonomy 207P00000X
- **State license:** 244524 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 4295 HEMPSTEAD TURNPIKE, Bethpage, NY 11714
- **Phone:** (516) 520-2201
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Acs Primary Care Physicians - Southeast PC (NPI 1861430555, Myrtle Beach, SC); App Of South Carolina Ed PLLC (NPI 1457878084, Hartsville, SC); Yaden Physical And Integrated Medical-LLC (NPI 1255958658, Moncks Corner, SC); Signify Health Medical Associates, PLLC (NPI 1750845863, Dallas, TX) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York College Of Osteo Medicine Of New York Institute Of Technology, class of 2003
## Record status
- **NPPES last updated:** March 19, 2009
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Source: [NPI Profile](https://npiprofile.com/npi/1063618700) · Data from the CMS NPPES public registry.