MIGUEL ANGEL MENDOZA
NPI 1275112773
Student in an Organized Health Care Education/Training Program in Poughkeepsie, NY

Active since April 03, 2021PECOS EnrolledAccepts Medicare Assignment
45 READE PL, POUGHKEEPSIE, NY 12601(845) 790-2085 Get Directions Write a Review

NPPES record last updated: July 11, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 11, 2023, Apr 3, 2021 (2 updates tracked since 2021).

About Miguel Angel Mendoza NPPES

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

MIGUEL ANGEL MENDOZA (NPI 1275112773) is an individual student in an organized health care education/training program in Poughkeepsie, New York and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (2021).

NPPES Registry Identity

NPI1275112773
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMIGUEL ANGEL MENDOZA
Location Address45 READE PLPoughkeepsie, NY 12601-3947
Mailing Address45 Reade PlPoughkeepsie, NY 12601-3947 · (845) 790-2085
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 2021
Enumeration DateApril 3, 2021
Last NPPES UpdateJuly 11, 20232 updates tracked since enumeration
NPPES CertifiedJuly 11, 2023
NPI 1275112773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
45 READE PL, Poughkeepsie, NY 12601

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

Miguel Angel Mendoza 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 ID1759829815
PECOS Enrollment IDI20240820003042
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.

Pediatrics (Neonatal-Perinatal Medicine)
45 READE PL
POUGHKEEPSIE, NY 12601
Nurse Practitioner (Acute Care)
45 READE PL
POUGHKEEPSIE, NY 12601
Student in an Organized Health Care Education/Training Program
45 READE PL
POUGHKEEPSIE, NY 12601
Physician Assistant (Surgical)
45 READE PL, VASSAR BROTHERS MEDICAL CENTER
POUGHKEEPSIE, NY 12601
Pathology (Anatomic Pathology & Clinical Pathology)
45 READE PL
POUGHKEEPSIE, NY 12601
Emergency Medicine
45 READE PL
POUGHKEEPSIE, NY 12601
Emergency Medicine
45 READE PL
POUGHKEEPSIE, NY 12601
Nurse Anesthetist, Certified Registered
45 READE PL
POUGHKEEPSIE, NY 12601

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 Miguel Mendoza's NPI number?

The NPI number for Miguel Mendoza is 1275112773. It was assigned to this individual provider in the NPPES registry on April 3, 2021.

Where is Miguel Mendoza located?

Miguel Mendoza practices at 45 Reade Pl, Poughkeepsie, NY 12601. The listed phone number is (845) 790-2085.

What is Miguel 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 Miguel Mendoza enrolled in Medicare?

Yes. Miguel 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.

When was this NPI record last updated?

The NPPES record for Miguel Mendoza was last updated on July 11, 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.