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ELEN MENDOZA MD
NPI 1306696158
Student in an Organized Health Care Education/Training Program in Phoenix, AZ

Active since March 25, 2024PECOS Enrolled
1300 N 12TH ST STE 605, PHOENIX, AZ 85006(602) 839-4567 Get Directions Write a Review

NPPES record last updated: March 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elen Mendoza Md NPPES

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

ELEN MENDOZA MD (NPI 1306696158) is an individual student in an organized health care education/training program in Phoenix, Arizona and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306696158
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELEN MENDOZACredential: MD
Location Address1300 N 12TH ST STE 605Phoenix, AZ 85006-2850
Mailing Address1300 N 12th St Ste 605Phoenix, AZ 85006-2850 · (602) 839-4567
Phone(602) 839-4567
Sole ProprietorNo
Enumeration DateMarch 25, 2024
NPPES CertifiedMarch 25, 2024
✔ NPI 1306696158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
1300 N 12TH ST STE 605, Phoenix, AZ 85006
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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)

Elen Mendoza Md 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.

TYLER STEELE
Student in an Organized Health Care Education/Training Program
1300 N 12TH ST STE 605
PHOENIX, AZ 85006
Maricopa County (602) 839-4567
SATYAM PATEL
Family Medicine
1300 N 12TH ST STE 605
PHOENIX, AZ 85006
Maricopa County (602) 839-4567
KRISTEN PARKER
Pharmacist (Ambulatory Care)
1300 N 12TH ST STE 605
PHOENIX, AZ 85006
Maricopa County (602) 747-3225
MRS. VALERIA VASQUEZ MD
Student in an Organized Health Care Education/Training Program
1300 N 12TH ST STE 605
PHOENIX, AZ 85006
Maricopa County (602) 255-7821
ANDREW JOSEPH OCHOA
Family Medicine
1300 N 12TH ST STE 605
PHOENIX, AZ 85006
Maricopa County (602) 839-4567
SERENITY GRACEANN SWEET MD
General Practice
1300 N 12TH ST STE 605
PHOENIX, AZ 85006
Maricopa County (602) 839-5271
EMILY EISENBERG
Student in an Organized Health Care Education/Training Program
1300 N 12TH ST STE 605
PHOENIX, AZ 85006
Maricopa County (602) 839-4567
PUNIT HARSHAD BAROT MD
Student in an Organized Health Care Education/Training Program
1300 N 12TH ST STE 605
PHOENIX, AZ 85006
Maricopa County (602) 839-4567

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 Elen Mendoza's NPI number?

The NPI number for Elen Mendoza is 1306696158. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Where is Elen Mendoza located?

Elen Mendoza practices at 1300 N 12th St Ste 605, Phoenix, AZ 85006. The listed phone number is (602) 839-4567.

What is Elen 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 Elen Mendoza enrolled in Medicare?

Yes. Elen Mendoza is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Elen Mendoza was last updated on March 25, 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.