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MENDOZA MEDICAL LLC
NPI 1386710523
Clinic/Center in Tucson, AZ

Active since November 28, 2006
1751 W ORANGE GROVE RD STE 111, TUCSON, AZ 85704(520) 593-7761(520) 593-7764 Get Directions Write a Review

NPPES record last updated: August 6, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 6, 2025, Aug 23, 2024 (2 updates tracked since 2024).

About Mendoza Medical Llc NPPES

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

MENDOZA MEDICAL LLC (NPI 1386710523) is a healthcare organization registered as a clinic/center in Tucson, Arizona and active in the NPI registry since November 2006. The organization maintains a secondary practice location in Tucson and lists Leonardo Mendoza, Owner, as its authorized official.

NPPES Registry Identity

NPI1386710523
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMENDOZA MEDICAL LLC
Location Address1751 W ORANGE GROVE RD STE 111Tucson, AZ 85704-1192
Mailing Address1751 W Orange Grove Rd Ste 111Tucson, AZ 85704-1192 · (520) 593-7761 · Fax (520) 593-7764
Phone(520) 593-7761
Fax(520) 593-7764
Organization SubpartNo
Authorized OfficialLeonardo MendozaOwner · (520) 593-7761
Enumeration DateNovember 28, 2006
Last NPPES UpdateAugust 6, 20252 updates tracked since enumeration
NPPES CertifiedAugust 6, 2025
✔ NPI 1386710523 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in AZ · 35869
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
Also ListedInternal Medicine · Geriatric MedicineTaxonomy 207RG0300X
1751 W ORANGE GROVE RD STE 111, Tucson, AZ 85704
Open in Google Maps ↗

Secondary Practice Location 1

Location 12171 W Orange Grove RdTucson, AZ 85741-3118 · Phone (520) 297-3907 · Fax (520) 989-3486

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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)

Mendoza Medical Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by February 28, 2027

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.

StateEnrollment IDDue date
StateArizonaEnrollment IDO20061219000582Non-DME Part B · Clinic/Group PracticeDue dateFebruary 28, 2027
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Mendoza Medical LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Leonardo Mendoza, MD
Internal Medicine
NPI 1194798496
1751 W ORANGE GROVE RD STE 111
Tucson, AZ 85704
(520) 593-7761
✔ PECOS✔ Accepts MedicareSame address
Francisco Rodriguez-Martinez, FNP-C
Nurse Practitioner
NPI 1578133914
5663 E GRANT RD
Tucson, AZ 85712
(520) 433-4964
✔ PECOS9.2 mi

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 Mendoza Medical LLC's NPI number?

The NPI number for Mendoza Medical LLC is 1386710523. It was assigned to this organization in the NPPES registry on November 28, 2006.

Where is Mendoza Medical LLC located?

Mendoza Medical LLC is located at 1751 W Orange Grove Rd Ste 111, Tucson, AZ 85704. The listed phone number is (520) 593-7761.

What is Mendoza Medical LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Mendoza Medical LLC enrolled in Medicare?

Yes. Mendoza Medical LLC is registered in the Medicare PECOS enrollment system.

When is Mendoza Medical 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 (Arizona, Clinic/Group Practice) is due for revalidation by February 28, 2027. 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 Mendoza Medical LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Mendoza Medical LLC, in Internal Medicine and Nurse Practitioner. 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Mendoza Medical LLC was last updated on August 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.