PHILLIP MENDOZA MD, LLC
NPI 1336801562
Clinic/Center - Health Service in Brighton, CO
About Phillip Mendoza Md, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHILLIP MENDOZA MD, LLC (NPI 1336801562) is a healthcare organization registered as a health service in Brighton, Colorado and active in the NPI registry since October 2021. The organization lists Phillip Mendoza, Physician Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Phillip Mendoza Md, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by October 31, 2026
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Phillip Mendoza MD, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Phillip Mendoza MD, LLC's NPI number?
The NPI number for Phillip Mendoza MD, LLC is 1336801562. It was assigned to this organization in the NPPES registry on October 5, 2021.
Where is Phillip Mendoza MD, LLC located?
Phillip Mendoza MD, LLC is located at 20 S 5th Ave Ste D, Brighton, CO 80601. The listed phone number is (303) 960-7516.
What is Phillip Mendoza MD, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Health Service, with taxonomy code 261QH0100X.
Is Phillip Mendoza MD, LLC enrolled in Medicare?
Yes. Phillip Mendoza MD, LLC is registered in the Medicare PECOS enrollment system.
When is Phillip Mendoza MD, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Colorado, Clinic/Group Practice) is due for revalidation by October 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Phillip Mendoza MD, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Phillip Mendoza MD, LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Phillip Mendoza MD, LLC was last updated on October 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Phillip Mendoza Md, Llc · NPI 1336801562
Health Service organization in Brighton, Colorado. Organization record, active in the CMS NPPES registry since October 5, 2021.
## Identity
- **NPI:** 1336801562 (Entity type: Organization)
- **Enumerated:** October 5, 2021
- **Primary specialty:** Clinic/Center - Health Service · taxonomy 261QH0100X
- **Organization subpart:** No
- **Authorized official:** Phillip Mendoza, PHYSICIAN OWNER
## Practice location
- **Address:** 20 S 5TH AVE STE D, Brighton, CO 80601-2179
- **Phone:** (303) 960-7516
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, Colorado, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 1 clinician (Family Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 5, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1336801562) · Data from the CMS NPPES public registry.