DR. MONICA LEE MENDIOLA M.D.
NPI 1225355142
Obstetrics & Gynecology in East Boston, MA
About Dr. Monica Lee Mendiola M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MONICA LEE MENDIOLA M.D. (NPI 1225355142) is an individual obstetrics & gynecology provider in East Boston, Massachusetts, licensed in Massachusetts (247979) and active in the NPI registry since May 2010. She is enrolled in Medicare PECOS, is affiliated with Boston Medical Center, and is a graduate of Baylor College Of Medicine (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
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. Monica Lee Mendiola 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.
Medicare Billing Reassignments
4Medicare enrollment records show Monica Mendiola reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
East Boston, MA 02128
- Reassigned Medicare billing, Massachusetts enrollment
- 577 clinicians in this Medicare group
East Boston, MA 02128
- Reassigned Medicare billing, Massachusetts enrollment
- Medicare enrollment name: East Boston Neighborhood Health Center Corp
- 456 clinicians in this Medicare group
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- 161 clinicians in this Medicare group
Boston, MA 02215
- Reassigned Medicare billing, Massachusetts enrollment
- 1,477 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.
Boston Medical Center
Acute Care Hospitals · Boston, MAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 02128 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
EAST BOSTON, MA 02128
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 Monica Mendiola's NPI number?
The NPI number for Monica Mendiola is 1225355142. It was assigned to this individual provider in the NPPES registry on May 2, 2010.
Where is Monica Mendiola located?
Monica Mendiola practices at 20 Maverick Sq, East Boston, MA 02128. The listed phone number is (617) 569-5800.
What is Monica Mendiola's specialty?
The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.
Is Monica Mendiola enrolled in Medicare?
Yes. Monica Mendiola 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 organizations bill Medicare for Monica Mendiola's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Monica Mendiola reassigns Medicare benefits to 4 organizations: Internal Medical Associates-Ebnhc (East Boston, MA), Neighborhealth Corporation (East Boston, MA), Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (Boston, MA) and Beth Israel Deaconess Medical Center, Inc. (Boston, MA). Each 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 Monica Mendiola's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Monica Mendiola accept?
Health plans from Anthem Blue Cross and Blue Shield list Monica Mendiola 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.
Is Monica Mendiola affiliated with any hospitals?
According to CMS data, Monica Mendiola is affiliated with Boston Medical Center.
When was this NPI record last updated?
The NPPES record for Monica Mendiola was last updated on June 14, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.
# Dr. Monica Lee Mendiola, M.D. · NPI 1225355142
Obstetrics & Gynecology physician in East Boston, Massachusetts. Individual provider, active in the CMS NPPES registry since May 2, 2010.
## Identity
- **NPI:** 1225355142 (Entity type: Individual)
- **Enumerated:** May 2, 2010
- **Primary specialty:** Obstetrics & Gynecology · taxonomy 207V00000X
- **State license:** 247979 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 20 MAVERICK SQ, East Boston, MA 02128-2335
- **Phone:** (617) 569-5800 · **Fax:** (617) 568-4418
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Internal Medical Associates-Ebnhc (NPI 1558481879, East Boston, MA); Neighborhealth Corporation (NPI 1316994411, East Boston, MA); Harvard Medical Faculty Phys At Beth Israel Deaconess Med Ctr Inc (NPI 1518908136, Boston, MA); Beth Israel Deaconess Medical Center, Inc. (NPI 1548202641, Boston, MA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Baylor College Of Medicine, class of 2006
## Record status
- **NPPES last updated:** June 14, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1225355142) · Data from the CMS NPPES public registry.