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DR. CIRIACO ADA MENDOZA M.D.
NPI 1376584508
Emergency Medicine in Princeton, WV

Active since June 09, 2006PECOS Enrolled
122 12TH STREET EXT, PRINCETON, WV 24740(304) 487-7000 Get Directions Write a Review

NPPES record last updated: November 9, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Ciriaco Ada Mendoza M.d. NPPES

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

DR. CIRIACO ADA MENDOZA M.D. (NPI 1376584508) is an individual emergency medicine provider in Princeton, West Virginia, licensed in West Virginia (13884) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376584508
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. CIRIACO ADA MENDOZACredential: M.D.
Location Address122 12TH STREET EXTPrinceton, WV 24740-2352
Mailing AddressPo Box 634715Cincinnati, OH 45263-0001
Phone(304) 487-7000
Sole ProprietorNo
Enumeration DateJune 9, 2006
Last NPPES UpdateNovember 9, 2007
✔ NPI 1376584508 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in WV · 13884
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
122 12TH STREET EXT, Princeton, WV 24740
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Other Identifiers 6

Other1044421WV · Workers Comp
Medicare UPIND15409
OtherP00048451WV · Medicare Railroad
Medicare PINME0871307WV
Other000699368WV · Blue Cross
Medicaid0052156-000WV

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ciriaco Ada Mendoza M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Ciriaco Mendoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Greenbrier Emergency Services, Inc.
  • Reassigned Medicare billing, West Virginia enrollment
  • 207 clinicians in this Medicare group
No phone listed

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 24740 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.49 typical visit price
range $53.20 – $164.59
Typical copayment $20.87 (range $13.30 – $41.14)
Most-billed visit code 99203
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. TIMOTHY ALAN PRESCOTT PAC
Physician Assistant
122 12TH STREET EXT, PRINCETON COMMUNITY HOSPITAL
PRINCETON, WV 24740
Mercer County (304) 487-7275
DOUGLAS R SMITH PA
Physician Assistant
122 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 487-7275
DR. CARLOS FERNANDEZ DELARA MD
Pathology (Anatomic Pathology & Clinical Pathology)
122 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 487-7349
PRINCETON COMMUNITY HOSPITAL ASSOCIATION, INC.
Psychiatric Unit
122 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 487-7000
DONNA RUTH SHAY MS CCC SLP
Speech-Language Pathologist
122 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 487-7658
BRANDON L FAIN PA-C
Physician Assistant (Medical)
122 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 487-7275
ADAM S. HODOVAN APRN-BC
Nurse Practitioner (Family)
122 12TH STREET EXT, PRINCETON COMMUNITY HOSPITAL
PRINCETON, WV 24740
Mercer County (304) 487-7275
JACOB TIBBS CRNA
Nurse Anesthetist, Certified Registered
122 12TH STREET EXT
PRINCETON, WV 24740
Mercer County (304) 487-7000

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 Ciriaco Mendoza's NPI number?

The NPI number for Ciriaco Mendoza is 1376584508. It was assigned to this individual provider in the NPPES registry on June 9, 2006.

Where is Ciriaco Mendoza located?

Ciriaco Mendoza practices at 122 12th Street Ext, Princeton, WV 24740. The listed phone number is (304) 487-7000.

What is Ciriaco Mendoza's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Ciriaco Mendoza enrolled in Medicare?

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

Which organization bills Medicare for Ciriaco Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ciriaco Mendoza reassigns Medicare benefits to Greenbrier Emergency Services, Inc. (WV). 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 Ciriaco 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 Ciriaco Mendoza was last updated on November 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.