DR. LEONEL ONTIVEROS MENDOZA
NPI 1497112627
Student in an Organized Health Care Education/Training Program in Brooklyn, NY

Active since January 19, 2016PECOS EnrolledAccepts Medicare Assignment
450 CLARKSON AVE, BROOKLYN, NY 11203(718) 270-8867 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 22, 2021, May 8, 2018, Jan 19, 2016 (3 updates tracked since 2016).

About Dr. Leonel Ontiveros Mendoza NPPES

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

DR. LEONEL ONTIVEROS MENDOZA (NPI 1497112627) is an individual student in an organized health care education/training program in Brooklyn, New York and active in the NPI registry since January 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sacramento, and is a graduate of University Of California, Davis School Of Medicine (2017).

NPPES Registry Identity

NPI1497112627
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. LEONEL ONTIVEROS MENDOZA
Location Address450 CLARKSON AVEBrooklyn, NY 11203-2012
Mailing AddressSuny Downstate Medical Center, 450 Clarkson Avenue, Box 1262Brooklyn, NY 11203 · (718) 270-8867
Sole ProprietorNo
Medical School CMSUniversity Of California, Davis School Of MedicineGraduated 2017
Enumeration DateJanuary 19, 2016
Last NPPES UpdateDecember 22, 20213 updates tracked since enumeration
NPI 1497112627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
450 CLARKSON AVE, Brooklyn, NY 11203

Secondary Practice Location 1

Location 14610 X StSacramento, CA 95817-2200 · Phone (510) 387-1003

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. Leonel Ontiveros Mendoza 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 ID9335482041
PECOS Enrollment IDI20211208003212
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.

Other Providers at the Same Location NPPES 20

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

Obstetrics & Gynecology
450 CLARKSON AVE
BROOKLYN, NY 11203
Internal Medicine (Gastroenterology)
450 CLARKSON AVE, SUITE A
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Student in an Organized Health Care Education/Training Program
450 CLARKSON AVE, SUNY DOWNSTATE MEDICAL CENTER
BROOKLYN, NY 11203
Internal Medicine (Pulmonary Disease)
450 CLARKSON AVE
BROOKLYN, NY 11203
Family Medicine
450 CLARKSON AVE, MSC 67
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203
Emergency Medicine
450 CLARKSON AVE
BROOKLYN, NY 11203

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 Leonel Mendoza's NPI number?

The NPI number for Leonel Mendoza is 1497112627. It was assigned to this individual provider in the NPPES registry on January 19, 2016.

Where is Leonel Mendoza located?

Leonel Mendoza practices at 450 Clarkson Ave, Brooklyn, NY 11203. The listed phone number is (718) 270-8867.

What is Leonel Mendoza's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Leonel Mendoza enrolled in Medicare?

Yes. Leonel 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.

When was this NPI record last updated?

The NPPES record for Leonel Mendoza was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.