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JUAN RAFAEL MENDOZA ORTIZ MD
NPI 1447737358
Family Medicine in Bloomington, IL

Active since July 24, 2018PECOS EnrolledAccepts Medicare Assignment
3024 E EMPIRE ST FL 3, BLOOMINGTON, IL 61704(309) 556-7700(309) 556-7775 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 15, 2025, May 27, 2022, Jul 24, 2018 (3 updates tracked since 2018).

About Juan Rafael Mendoza Ortiz Md NPPES

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

JUAN RAFAEL MENDOZA ORTIZ MD (NPI 1447737358) is an individual family medicine provider in Bloomington, Illinois, licensed in Illinois (036175617) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS, is affiliated with Carle Foundation Hospital, and maintains a secondary practice location in Caguas.

NPPES Registry Identity

NPI1447737358
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJUAN RAFAEL MENDOZA ORTIZCredential: MD
Location Address3024 E EMPIRE ST FL 3Bloomington, IL 61704-5402
Mailing Address611 W Park StUrbana, IL 61801-2501 · (217) 383-3311
Phone(309) 556-7700
Fax(309) 556-7775
Sole ProprietorYes
Medical School CMSPonce School Of MedicineGraduated 2020
Enumeration DateJuly 24, 2018
Last NPPES UpdateFebruary 19, 20263 updates tracked since enumeration
NPPES CertifiedFebruary 19, 2026
✔ NPI 1447737358 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 036175617
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
3024 E EMPIRE ST FL 3, Bloomington, IL 61704
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Secondary Practice Location 1

Location 1I11 calle 3, Urb Altos de la FuenteCaguas, PR 00726 · Phone (787) 633-2456

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

Juan Rafael Mendoza Ortiz 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 ID4284016544
PECOS Enrollment IDI20251014002400
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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Carle Foundation Hospital

Acute Care Hospitals · Urbana, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140091
Location611 West Park StreetUrbana, IL 61801 · Champaign County
Emergency services Birthing friendly

Carle Bromenn Medical Center

Acute Care Hospitals · Normal, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number140127
Location1304 Franklin AvenueNormal, IL 61761 · Mc Lean County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61704 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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

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

MOLLY ELIZABETH LESSEN MSN, APRN, FNP-C
Nurse Practitioner (Family)
3024 E EMPIRE ST FL 3
BLOOMINGTON, IL 61704
McLean County (309) 556-7450

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 Juan Mendoza Ortiz's NPI number?

The NPI number for Juan Mendoza Ortiz is 1447737358. It was assigned to this individual provider in the NPPES registry on July 24, 2018.

Where is Juan Mendoza Ortiz located?

Juan Mendoza Ortiz practices at 3024 E Empire St Fl 3, Bloomington, IL 61704. The listed phone number is (309) 556-7700.

What is Juan Mendoza Ortiz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Juan Mendoza Ortiz enrolled in Medicare?

Yes. Juan Mendoza Ortiz 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.

Is Juan Mendoza Ortiz affiliated with any hospitals?

According to CMS data, Juan Mendoza Ortiz is affiliated with Carle Foundation Hospital and Carle Bromenn Medical Center.

When was this NPI record last updated?

The NPPES record for Juan Mendoza Ortiz was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.