MICHAEL JOHN MENDOZA MD
NPI 1346869203
Student in an Organized Health Care Education/Training Program in Milwaukee, WI

Active since April 10, 2020PECOS EnrolledAccepts Medicare Assignment
9200 W WISCONSIN AVE, MILWAUKEE, WI 53226(414) 805-3000 Get Directions Write a Review

NPPES record last updated: April 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael John Mendoza Md NPPES

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

MICHAEL JOHN MENDOZA MD (NPI 1346869203) is an individual student in an organized health care education/training program in Milwaukee, Wisconsin and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Medical College Of Wisconsin (2020).

NPPES Registry Identity

NPI1346869203
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameMICHAEL JOHN MENDOZACredential: MD
Location Address9200 W WISCONSIN AVEMilwaukee, WI 53226-3522
Mailing Address9200 W Wisconsin AveMilwaukee, WI 53226-3522
Sole ProprietorNo
Medical School CMSMedical College Of WisconsinGraduated 2020
Enumeration DateApril 10, 2020
NPPES CertifiedApril 10, 2020
NPI 1346869203 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.
9200 W WISCONSIN AVE, Milwaukee, WI 53226

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

Michael John 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 ID3678998705
PECOS Enrollment IDI20250923002221
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.

Advanced Practice Midwife
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Internal Medicine (Gastroenterology)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Emergency Medicine
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Practitioner (Pediatrics)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE, DEPT OF INTERNAL MEDICINE
MILWAUKEE, WI 53226
Nurse Practitioner (Adult Health)
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Nurse Anesthetist, Certified Registered
9200 W WISCONSIN AVE
MILWAUKEE, WI 53226
Physician Assistant (Medical)
9200 W WISCONSIN AVE, INTERNAL MEDICINE
MILWAUKEE, WI 53226

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 Michael John Mendoza's NPI number?

The NPI number for Michael John Mendoza is 1346869203. It was assigned to this individual provider in the NPPES registry on April 10, 2020.

Where is Michael John Mendoza located?

Michael John Mendoza practices at 9200 W Wisconsin Ave, Milwaukee, WI 53226. The listed phone number is (414) 805-3000.

What is Michael John 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 Michael John Mendoza enrolled in Medicare?

Yes. Michael John 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 Michael John Mendoza was last updated on April 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.