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DR. MICHAEL MAXWELL MENDELSON M.D.
NPI 1194074005
Pediatrics - Pediatric Cardiology in Boston, MA

Active since September 06, 2012PECOS Enrolled
300 LONGWOOD AVE, DEPARTMENT OF PEDIATRIC CARDIOLOGY, BOSTON, MA 02115(857) 218-5436 Get Directions Write a Review

NPPES record last updated: September 6, 2012. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Dr. Michael Maxwell Mendelson M.d. NPPES

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

DR. MICHAEL MAXWELL MENDELSON M.D. (NPI 1194074005) is an individual pediatric cardiology provider in Boston, Massachusetts, licensed in Massachusetts (252517) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194074005
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameDR. MICHAEL MAXWELL MENDELSONCredential: M.D.
Location Address300 LONGWOOD AVE, DEPARTMENT OF PEDIATRIC CARDIOLOGYBoston, MA 02115
Mailing Address300 Longwood Ave, Department Of Pediatric CardiologyBoston, MA 02115 · (857) 218-5436
Phone(857) 218-5436
Sole ProprietorYes
Enumeration DateSeptember 6, 2012
✔ NPI 1194074005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in MA · 252517
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
300 LONGWOOD AVE, Boston, MA 02115
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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)

Dr. Michael Maxwell Mendelson 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.

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.

JULIE ANN HANSEN LCSW
Social Worker (Clinical)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (857) 218-4309
MS. ANNA ROGLIERI
Nurse Practitioner (Psychiatric/Mental Health)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
STEPHEN G. FLYNN M.D.
Anesthesiology (Pediatric Anesthesiology)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000
MRS. LAUREN ASHLEY SHARIS P.T., D.P.T
Physical Therapist
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-7216
MS. SOYUN KWAN LICSW
Social Worker (Clinical)
300 LONGWOOD AVE, CHILDREN'S HOSPITAL BOSTON
BOSTON, MA 02115
Suffolk County (617) 355-0567
PUJA BANKA M.D.
Pediatrics
300 LONGWOOD AVE, BADER 203
BOSTON, MA 02115
Suffolk County (617) 355-6363
MR. COURTNEY SULLIVAN FRATTO CPNP
Nurse Practitioner (Pediatrics)
300 LONGWOOD AVE, HUNNEWELL BUILDING 322
BOSTON, MA 02115
Suffolk County (857) 218-4085
DR. ELIZABETH S TAGLAUER M.D., PH.D.
Pediatrics (Neonatal-Perinatal Medicine)
300 LONGWOOD AVE
BOSTON, MA 02115
Suffolk County (617) 355-6000

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 Mendelson's NPI number?

The NPI number for Michael Mendelson is 1194074005. It was assigned to this individual provider in the NPPES registry on September 6, 2012.

Where is Michael Mendelson located?

Michael Mendelson practices at 300 Longwood Ave Department Of Pediatric Cardiology, Boston, MA 02115. The listed phone number is (857) 218-5436.

What is Michael Mendelson's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Michael Mendelson enrolled in Medicare?

Yes. Michael Mendelson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Michael Mendelson was last updated on September 6, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.