ALBERTO MENDOZA
NPI 1497583413
Student in an Organized Health Care Education/Training Program in Edwardsville, IL
About Alberto Mendoza NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ALBERTO MENDOZA (NPI 1497583413) is an individual student in an organized health care education/training program in Edwardsville, Illinois and active in the NPI registry since July 2024. He is enrolled in Medicare PECOS and is a graduate of Other (2022).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Alberto Mendoza is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Alberto Mendoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Arlington, TX 76006
- Reassigned Medicare billing, Illinois enrollment
- 735 clinicians in this Medicare group
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 Alberto Mendoza's NPI number?
The NPI number for Alberto Mendoza is 1497583413. It was assigned to this individual provider in the NPPES registry on July 22, 2024.
Where is Alberto Mendoza located?
Alberto Mendoza practices at 2332 B Alumni Hall, Edwardsville, IL 62026. The listed phone number is (618) 650-3283.
What is Alberto 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 Alberto Mendoza enrolled in Medicare?
Yes. Alberto Mendoza is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Alberto Mendoza's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Alberto Mendoza reassigns Medicare benefits to Northstar Anesthesia Of Illinois, LLC (Arlington, TX). The 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 Alberto Mendoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Alberto Mendoza was last updated on July 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Alberto Mendoza · NPI 1497583413
Student in an Organized Health Care Education/Training Program provider in Edwardsville, Illinois. Individual provider, active in the CMS NPPES registry since July 22, 2024.
## Identity
- **NPI:** 1497583413 (Entity type: Individual)
- **Enumerated:** July 22, 2024
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** No
## Practice location
- **Address:** 2332 B ALUMNI HALL, Edwardsville, IL 62026-0001
- **Phone:** (618) 650-3283
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging
- **Bills Medicare through:** Northstar Anesthesia Of Illinois, LLC (NPI 1962822395, Arlington, TX), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2022
## Record status
- **NPPES last updated:** July 22, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1497583413) · Data from the CMS NPPES public registry.