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DR. STEPHEN KYLE MENDENHALL M.D.
NPI 1083096762
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since June 18, 2015PECOS EnrolledAccepts Medicare Assignment
355 W. 16TH GOODMAN HALL SUITE 5100, INDIANAPOLIS, IN 46202(317) 396-1300(317) 396-1268 Get Directions Write a Review

NPPES record last updated: October 31, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Stephen Kyle Mendenhall M.d. NPPES

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

DR. STEPHEN KYLE MENDENHALL M.D. (NPI 1083096762) is an individual student in an organized health care education/training program in Indianapolis, Indiana, licensed in Indiana (11018247A) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS and is a graduate of Vanderbilt University School Of Medicine (2015).

NPPES Registry Identity

NPI1083096762
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. STEPHEN KYLE MENDENHALLCredential: M.D.
Location Address355 W. 16TH GOODMAN HALL SUITE 5100Indianapolis, IN 46202
Mailing Address355 W. 16th Goodman Hall Suite 5100Indianapolis, IN 46202 · (317) 396-1300 · Fax (317) 396-1268
Phone(317) 396-1300
Fax(317) 396-1268
Sole ProprietorYes
Medical School CMSVanderbilt University School Of MedicineGraduated 2015
Enumeration DateJune 18, 2015
Last NPPES UpdateOctober 31, 2022
NPPES CertifiedOctober 31, 2022
✔ NPI 1083096762 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
License✔ Licensed in IN · 11018247A
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.

355 W. 16TH GOODMAN HALL SUITE 5100, Indianapolis, IN 46202
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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 and accepts Medicare assignment

Dr. Stephen Kyle Mendenhall 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 ID749589224
PECOS Enrollment IDI20221216002460
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 Stephen Mendenhall's NPI number?

The NPI number for Stephen Mendenhall is 1083096762. It was assigned to this individual provider in the NPPES registry on June 18, 2015.

Where is Stephen Mendenhall located?

Stephen Mendenhall practices at 355 W. 16th Goodman Hall Suite 5100, Indianapolis, IN 46202. The listed phone number is (317) 396-1300.

What is Stephen Mendenhall's specialty?

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

Is Stephen Mendenhall enrolled in Medicare?

Yes. Stephen Mendenhall 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.

When was this NPI record last updated?

The NPPES record for Stephen Mendenhall was last updated on October 31, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.