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DELQUIS RAFAEL MENDOZA JR. M.D.
NPI 1083096416
Surgery - Plastic and Reconstructive Surgery in Duluth, GA

Active since June 22, 2015PECOS Enrolled
3970 ROGERS BRIDGE RD, DULUTH, GA 30097(404) 265-1579 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Delquis Rafael Mendoza Jr. M.d. NPPES

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

DELQUIS RAFAEL MENDOZA JR. M.D. (NPI 1083096416) is an individual plastic and reconstructive surgery provider in Duluth, Georgia, licensed in Georgia (91891) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083096416
Entity TypeIndividualMale
Primary Taxonomy2086S0122X
Provider Legal NameDELQUIS RAFAEL MENDOZA JR.Credential: M.D.
Location Address3970 ROGERS BRIDGE RDDuluth, GA 30097-2214
Mailing Address3970 Rogers Bridge RdDuluth, GA 30097-2214 · (404) 673-4396
Phone(404) 265-1579
Sole ProprietorYes
Enumeration DateJune 22, 2015
Last NPPES UpdateJune 27, 2023
NPPES CertifiedJune 27, 2023
✔ NPI 1083096416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Plastic and Reconstructive SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0122X
License✔ Licensed in GA · 91891
Definition

A surgeon who specializes in plastic and reconstructive surgery.

3970 ROGERS BRIDGE RD, Duluth, GA 30097
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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)

Delquis Rafael Mendoza Jr. M.d. 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.

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 Delquis Mendoza's NPI number?

The NPI number for Delquis Mendoza is 1083096416. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is Delquis Mendoza located?

Delquis Mendoza practices at 3970 Rogers Bridge Rd, Duluth, GA 30097. The listed phone number is (404) 265-1579.

What is Delquis Mendoza's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Plastic and Reconstructive Surgery, with taxonomy code 2086S0122X.

Is Delquis Mendoza enrolled in Medicare?

Yes. Delquis Mendoza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Delquis Mendoza was last updated on June 27, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.