DR. EDITA EXTRA-MENDOZA MD
NPI 1326023839
Internal Medicine in Green Valley, AZ
About Dr. Edita Extra-mendoza Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. EDITA EXTRA-MENDOZA MD (NPI 1326023839) is an individual internal medicine provider in Green Valley, Arizona, licensed in Arizona (24412) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 4
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Dr. Edita Extra-mendoza Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Edita Extra-mendoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Tucson, AZ 85711
- Reassigned Medicare billing, Arizona enrollment
- 264 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.
Areas of Expertise CMS Part B claims 67
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 85614 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 15
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Edita Extra-mendoza's NPI number?
The NPI number for Edita Extra-mendoza is 1326023839. It was assigned to this individual provider in the NPPES registry on December 8, 2005.
Where is Edita Extra-mendoza located?
Edita Extra-mendoza practices at 1055 N. La Canada Blvd Suite 121, Green Valley, AZ 85614. The listed phone number is (520) 547-7770.
What is Edita Extra-mendoza's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Edita Extra-mendoza enrolled in Medicare?
Yes. Edita Extra-mendoza is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Edita Extra-mendoza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Edita Extra-mendoza reassigns Medicare benefits to Arizona Community Physicians PC (Tucson, AZ). The 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 Edita Extra-mendoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Edita Extra-mendoza was last updated on April 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.