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DR. ALYSIA ANNE MENDOZA MD
NPI 1083142459
Student in an Organized Health Care Education/Training Program in Oklahoma City, OK

Active since May 30, 2017PECOS Enrolled
1200 CHILDRENS AVE STE 14000, OKLAHOMA CITY, OK 73104(405) 271-4407 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2022, Jul 14, 2020, May 30, 2017 (3 updates tracked since 2017).

About Dr. Alysia Anne Mendoza Md NPPES

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

DR. ALYSIA ANNE MENDOZA MD (NPI 1083142459) is an individual student in an organized health care education/training program in Oklahoma City, Oklahoma and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1083142459
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameDR. ALYSIA ANNE MENDOZACredential: MD
Location Address1200 CHILDRENS AVE STE 14000Oklahoma City, OK 73104-4637
Mailing Address3315 Kethley RdShawnee, OK 74804-9638 · (580) 916-2842
Phone(405) 271-4407
Sole ProprietorNo
Enumeration DateMay 30, 2017
Last NPPES UpdateJuly 21, 20223 updates tracked since enumeration
NPPES CertifiedJuly 14, 2020
✔ NPI 1083142459 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.
1200 CHILDRENS AVE STE 14000, Oklahoma City, OK 73104
Open in Google Maps ↗

Other Names 1

Former Name (1)Alysia Anne Brooks

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Oklahoma, Mending Health, Oscar Insurance Company.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Alysia Anne Mendoza 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.

Medicare Billing Reassignment

Medicare enrollment records show Alysia Mendoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Saints Medical Group, LLC
4.1 mi
Family Medicine
777 NW 63RD ST STE 452
Oklahoma City, OK 73116
  • Reassigned Medicare billing, Oklahoma enrollment
  • 507 clinicians in this Medicare group
NPI 1437195922 (405) 231-3857

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

Other Providers at the Same Location NPPES 7

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

DR. SHAWN PATEL MD
Internal Medicine (Pulmonary Disease)
1200 CHILDRENS AVE STE 14000
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-5211
KAITLYN ROBERTS DO
Pediatrics
1200 CHILDRENS AVE STE 14000
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
DR. MO'TASEM SUFFYAN BAKER ABUJABER MD
Pediatrics
1200 CHILDRENS AVE STE 14000
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
DR. MONICA WARDWELL FOGARTY M.D.
Pediatrics
1200 CHILDRENS AVE STE 14000
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
ANAM SIDDIQUI MD
Internal Medicine
1200 CHILDRENS AVE STE 14000
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4417
DR. MICHELLE SHERI JONES MD
Pediatrics
1200 CHILDRENS AVE STE 14000
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4401
CHRISTINA MAE KIDD
Pediatrics
1200 CHILDRENS AVE STE 14000
OKLAHOMA CITY, OK 73104
Oklahoma County (405) 271-4401

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 Alysia Mendoza's NPI number?

The NPI number for Alysia Mendoza is 1083142459. It was assigned to this individual provider in the NPPES registry on May 30, 2017. The provider is also known as Alysia Anne Brooks.

Where is Alysia Mendoza located?

Alysia Mendoza practices at 1200 Childrens Ave Ste 14000, Oklahoma City, OK 73104. The listed phone number is (405) 271-4407.

What is Alysia Mendoza's specialty?

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

Is Alysia Mendoza enrolled in Medicare?

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

Which organization bills Medicare for Alysia Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alysia Mendoza reassigns Medicare benefits to Saints Medical Group, LLC (Oklahoma City, OK). The 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 Alysia Mendoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Alysia Mendoza accept?

Health plans from Blue Cross and Blue Shield of Oklahoma, Mending Health and Oscar Insurance Company list Alysia 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.

When was this NPI record last updated?

The NPPES record for Alysia Mendoza was last updated on July 21, 2022. 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.