DR. ARDI KNOBEL NUEVO MENDOZA MD
NPI 1093397812
Student in an Organized Health Care Education/Training Program in New York, NY

Active since April 21, 2021PECOS EnrolledAccepts Medicare Assignment
622 W 168TH ST, NEW YORK, NY 10032(212) 305-2995 Get Directions Write a Review

NPPES record last updated: June 28, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 28, 2025, Apr 21, 2021 (2 updates tracked since 2021).

About Dr. Ardi Knobel Nuevo Mendoza Md NPPES

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

DR. ARDI KNOBEL NUEVO MENDOZA MD (NPI 1093397812) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and maintains a secondary practice location in New York.

NPPES Registry Identity

NPI1093397812
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. ARDI KNOBEL NUEVO MENDOZACredential: MD
Location Address622 W 168TH STNew York, NY 10032-3720
Mailing Address622 W 168th StNew York, NY 10032-3720 · (212) 305-2995
Sole ProprietorNo
Medical School CMSRutgers R W Johnson Medical School (cam/new Bruns/pisc)Graduated 2021
Enumeration DateApril 21, 2021
Last NPPES UpdateJune 28, 20252 updates tracked since enumeration
NPPES CertifiedJune 28, 2025
✔ NPI 1093397812 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

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.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 336660 (NY)
622 W 168TH ST, New York, NY 10032

Secondary Practice Location 1

Location 11 Gustave L Levy PlNew York, NY 10029-6504 · Phone (212) 824-8069

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

Dr. Ardi Knobel Nuevo Mendoza Md 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 ID8426565185
PECOS Enrollment IDI20250728002346
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 Ardi Knobel Mendoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Surgery
622 W 168TH ST
New York, NY 10032
  • Reassigned Medicare billing, New York enrollment
  • 3,922 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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

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.

Internal Medicine (Nephrology)
622 W 168TH ST, PH4-124
NEW YORK, NY 10032
Internal Medicine
622 W 168TH ST
NEW YORK, NY 10032
Nurse Practitioner (Adult Health)
622 W 168TH ST
NEW YORK, NY 10032
Emergency Medicine
622 W 168TH ST
NEW YORK, NY 10032
Pharmacist
622 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032
Student in an Organized Health Care Education/Training Program
622 W 168TH ST
NEW YORK, NY 10032

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 Ardi Knobel Mendoza's NPI number?

The NPI number for Ardi Knobel Mendoza is 1093397812. It was assigned to this individual provider in the NPPES registry on April 21, 2021.

Where is Ardi Knobel Mendoza located?

Ardi Knobel Mendoza practices at 622 W 168th St, New York, NY 10032. The listed phone number is (212) 305-2995.

What is Ardi Knobel 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 Ardi Knobel Mendoza enrolled in Medicare?

Yes. Ardi Knobel Mendoza 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 organization bills Medicare for Ardi Knobel Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ardi Knobel Mendoza reassigns Medicare benefits to Trustees Of Columbia University In The City Of New York (New York, NY). 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 Ardi Knobel Mendoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Ardi Knobel Mendoza affiliated with any hospitals?

According to CMS data, Ardi Knobel Mendoza is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Ardi Knobel Mendoza was last updated on June 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.