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

Q: 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.

Q: What is Juan Mendoza Ortiz's specialty?

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

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: November 08, 2026.

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

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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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Juan Mendoza Ortiz reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carle West Physician Group Inc

3.8 mi

Family Medicine

1302 FRANKLIN AVE STE 3400
Normal, IL 61761

Reassigned Medicare billing, Illinois enrollment
698 clinicians in this Medicare group

NPI 1467074138 (309) 556-8295

Carle Health Medical Group

45 mi

Internal Medicine

611 W PARK ST
Urbana, IL 61801

Reassigned Medicare billing, Illinois enrollment
Medicare enrollment name: Carle Health Care Incorporated
2,516 clinicians in this Medicare group

NPI 1154653947 (217) 383-8300

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

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.

Which organizations bill Medicare for Juan Mendoza Ortiz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Mendoza Ortiz reassigns Medicare benefits to 2 organizations: Carle West Physician Group Inc (Normal, IL) and Carle Health Medical Group (Urbana, IL). Each 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 Juan Mendoza Ortiz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 8 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.