DR. YOLANDA MARIA MIROBALLI MENDOZA MD
NPI 1265966303
Radiology - Diagnostic Radiology in Fort Moore, GA

Active since April 15, 2017PECOS EnrolledAccepts Medicare Assignment
6600 VAN AALST BLVD, FORT MOORE, GA 31905(762) 408-2273 Get Directions Write a Review

NPPES record last updated: August 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 8, 2024, Oct 1, 2022, Oct 5, 2021 and 1 more (4 updates tracked since 2017).

About Dr. Yolanda Maria Miroballi Mendoza Md NPPES

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

DR. YOLANDA MARIA MIROBALLI MENDOZA MD (NPI 1265966303) is an individual diagnostic radiology provider in Fort Moore, Georgia, licensed in Nebraska (31114) and active in the NPI registry since April 2017. She is enrolled in Medicare PECOS, maintains a secondary practice location in Joint Base Lewis Mcchord, and is a graduate of Medical College Of Wisconsin (2017).

NPPES Registry Identity

NPI1265966303
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameDR. YOLANDA MARIA MIROBALLI MENDOZACredential: MD
Location Address6600 VAN AALST BLVDFort Moore, GA 31905-2102
Mailing Address6600 Van Aalst BlvdFort Moore, GA 31905-2102
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2017
Enumeration DateApril 15, 2017
Last NPPES UpdateAugust 8, 20244 updates tracked since enumeration
NPPES CertifiedAugust 8, 2024
NPI 1265966303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in NE · 31114
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 31114 (NE)
6600 VAN AALST BLVD, Fort Moore, GA 31905

Secondary Practice Location 1

Location 19040 Fitzsimmons DrJoint Base Lewis McChord, WA 98431-1000 · Phone (253) 968-4184

Accepted Insurance

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. Yolanda Maria Miroballi 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 ID1456761840
PECOS Enrollment IDI20250922002317
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31905 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$66.89 typical visit price
range $16.68 – $133.24
Typical copayment $16.72 (range $4.17 – $33.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Surgery
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Hospitalist
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Family Medicine
6600 VAN AALST BLVD
FORT BENNING, GA 31905
Emergency Medicine
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Nurse Anesthetist, Certified Registered
6600 VAN AALST BLVD
FORT MOORE, GA 31905
Family Medicine (Sleep Medicine)
6600 VAN AALST BLVD
FORT BENNING, GA 31905

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 Yolanda Mendoza's NPI number?

The NPI number for Yolanda Mendoza is 1265966303. It was assigned to this individual provider in the NPPES registry on April 15, 2017.

Where is Yolanda Mendoza located?

Yolanda Mendoza practices at 6600 Van Aalst Blvd, Fort Moore, GA 31905. The listed phone number is (762) 408-2273.

What is Yolanda Mendoza's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Yolanda Mendoza enrolled in Medicare?

Yes. Yolanda 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.

What insurance does Yolanda Mendoza accept?

Health plans from CareSource list Yolanda 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 Yolanda Mendoza was last updated on August 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.