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DR. RAUL MENDOZA M.D.
NPI 1457357667
Internal Medicine - Cardiovascular Disease in Lawrence, NY

Active since June 22, 2005PECOS EnrolledAccepts Medicare Assignment
135 ROCKAWAY TPKE, STE 103, LAWRENCE, NY 11559(516) 239-1616(516) 239-2566 Get Directions Write a Review

NPPES record last updated: January 23, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Raul Mendoza M.d. NPPES

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

DR. RAUL MENDOZA M.D. (NPI 1457357667) is an individual cardiovascular disease provider in Lawrence, New York, licensed in New York (171383) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai South Nassau, and is a graduate of Other (1984).

NPPES Registry Identity

NPI1457357667
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. RAUL MENDOZACredential: M.D.
Location Address135 ROCKAWAY TPKE, STE 103Lawrence, NY 11559-1023
Mailing Address48 Hamilton StRockville Centre, NY 11570-2037 · (516) 594-1173
Phone(516) 239-1616
Fax(516) 239-2566
Sole ProprietorNo
Medical School CMSOtherGraduated 1984
Enumeration DateJune 22, 2005
Last NPPES UpdateJanuary 23, 2013
✔ NPI 1457357667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 171383
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
135 ROCKAWAY TPKE, Lawrence, NY 11559
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Other Identifiers 2

Medicare PIN39F04NY
Medicare PIN02468MNY

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

Dr. Raul Mendoza M.d. 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 ID2062426216
PECOS Enrollment IDI20060301000498
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,486 services948 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
370 services358 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
365 services196 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
302 services181 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
51 services49 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
43 services43 patients

Hospital Affiliations CMS Care Compare 2

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

Mount Sinai South Nassau

Acute Care Hospitals · Oceanside, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330198
LocationOne Healthy WayOceanside, NY 11572 · Nassau County
Emergency services Birthing friendly

St John's Episcopal Hospital At South Shore

Acute Care Hospitals · Far Rockaway, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330395
Location327 Beach 19th StreetFar Rockaway, NY 11691 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11559 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Coronary Artery Disease (CAD): Antiplatelet Therapy
Percentage of patients aged 18 years and older with a diagnosis of coronary artery disease (CAD) seen within a 12 month period who were prescribed aspirin or clopidogrel
98%294 patients4/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%2,916 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
68%689 patients3/55-star benchmark: 100%
Ischemic Vascular Disease (IVD): Use of Aspirin or Another Antiplatelet
Percentage of patients 18 years of age and older who were diagnosed with acute myocardial infarction (AMI), coronary artery bypass graft (CABG) or percutaneous coronary interventions (PCI) in the 12 months prior to the measurement period, or who had an active…
94%274 patients4/55-star benchmark: 100%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
98%645 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
62%585 patients3/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
21%1,371 patients1/55-star benchmark: 100%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
61%585 patients3/55-star benchmark: 100%
Radiology: Stenosis Measurement in Carotid Imaging Reports
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of…
100%172 patients
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
7%585 patients1/55-star benchmark: 79%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 7

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

MARCEL SCHEINMAN MD PC
Plastic Surgery
135 ROCKAWAY TPKE, SUITE 108
LAWRENCE, NY 11559
Nassau County (516) 239-1917
DR. DANIEL GLATT D.D.S.
Dentist (Endodontics)
135 ROCKAWAY TPKE, SUITE 110
LAWRENCE, NY 11559
Nassau County (516) 371-7717
DR. MICHAEL D TEIGMAN M.D.
Internal Medicine (Cardiovascular Disease)
135 ROCKAWAY TPKE, STE 103
LAWRENCE, NY 11559
Nassau County (516) 239-1616
LAWRENCE PHYSICAL THERAPY, P.C.
Physical Therapist
135 ROCKAWAY TPKE, SUITE 107
LAWRENCE, NY 11559
Nassau County (516) 371-9622
DR. NARENDRA K HADPAWAT M.D.
Internal Medicine (Cardiovascular Disease)
135 ROCKAWAY TPKE, STE 103
LAWRENCE, NY 11559
Nassau County (516) 239-1616
DR. HAROLD S. HEFTER M.D.
Dermatology (Procedural Dermatology)
135 ROCKAWAY TPKE, SUITE 100
LAWRENCE, NY 11559
Nassau County (516) 371-1600
MARCEL SCHEINMAN M.D.
Plastic Surgery
135 ROCKAWAY TPKE, SUITE 108
LAWRENCE, NY 11559
Nassau County (516) 239-1917

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 Raul Mendoza's NPI number?

The NPI number for Raul Mendoza is 1457357667. It was assigned to this individual provider in the NPPES registry on June 22, 2005.

Where is Raul Mendoza located?

Raul Mendoza practices at 135 Rockaway Tpke Ste 103, Lawrence, NY 11559. The listed phone number is (516) 239-1616.

What is Raul Mendoza's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Raul Mendoza enrolled in Medicare?

Yes. Raul 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.

Is Raul Mendoza affiliated with any hospitals?

According to CMS data, Raul Mendoza is affiliated with Mount Sinai South Nassau and St John's Episcopal Hospital At South Shore.

When was this NPI record last updated?

The NPPES record for Raul Mendoza was last updated on January 23, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.