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JOSE E MENDOZA III M.D.
NPI 1578533659
Internal Medicine in Avon, OH

Active since January 23, 2006PECOS EnrolledAccepts Medicare Assignment
1813 NAGEL RD STE 500, AVON, OH 44011(440) 937-4600(440) 937-4605 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jose E Mendoza Iii M.d. NPPES

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

JOSE E MENDOZA III M.D. (NPI 1578533659) is an individual internal medicine provider in Avon, Ohio, licensed in Ohio (35066480) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with Mercy Regional Medical Center, and maintains a secondary practice location in Avon.

NPPES Registry Identity

NPI1578533659
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSE E MENDOZA IIICredential: M.D.
Location Address1813 NAGEL RD STE 500Avon, OH 44011-6401
Mailing AddressPo Box 636643Cincinnati, OH 45263-6461 · (440) 989-3801 · Fax (440) 960-0264
Phone(440) 937-4600
Fax(440) 937-4605
Sole ProprietorNo
Medical School CMSOtherGraduated 1988
Enumeration DateJanuary 23, 2006
Last NPPES UpdateAugust 29, 2022
NPPES CertifiedAugust 29, 2022
✔ NPI 1578533659 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in OH · 35066480
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedEmergency MedicineTaxonomy 207P00000X · License 35-06-6480-M (OH)
1813 NAGEL RD STE 500, Avon, OH 44011
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Secondary Practice Location 1

Location 11480 Center Rd, Suite AAvon, OH 44011-1239 · Phone (440) 937-4600 · Fax (440) 937-4605

Other Identifiers 4

Other5619197341C96OH · Bluecross Blueshield
Medicaid0974594OH
Medicaid3025372OH
Medicaid0236248OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Jose E Mendoza Iii 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 ID6002883006
PECOS Enrollment IDI20040910000259
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 Reassignment

Medicare enrollment records show Jose Mendoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mercy Health Physicians Lorain, LLC
13 mi
Family Medicine
3700 KOLBE RD
Lorain, OH 44053
  • Reassigned Medicare billing, Ohio enrollment
  • 151 clinicians in this Medicare group
NPI 1023347192 (440) 988-1009

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

Areas of Expertise CMS Part B claims 8

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.

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.
234 services141 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
218 services146 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
134 services134 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
42 services39 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services21 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
21 services21 patients

Hospital Affiliations CMS Care Compare

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

Mercy Regional Medical Center

Acute Care Hospitals · Lorain, OH
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360172
Location3700 Kolbe RoadLorain, OH 44053 · Lorain County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44011 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers21 claims74 services$4.87 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
6 suppliers16 claims19 services$0.81 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers13 claims13 services$201.19 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
3 suppliers11 claims11 services$25.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

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

MRS. SARA MARIE BELDON CNP
Nurse Practitioner (Family)
1813 NAGEL RD STE 500
AVON, OH 44011
Lorain County (440) 937-4600
MERCY HEALTH PHYSICIANS LORAIN SPECIALTY CARE LLC
Durable Medical Equipment & Medical Supplies
1813 NAGEL RD STE 500
AVON, OH 44011
Lorain County (440) 930-6015

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 Jose Mendoza's NPI number?

The NPI number for Jose Mendoza is 1578533659. It was assigned to this individual provider in the NPPES registry on January 23, 2006.

Where is Jose Mendoza located?

Jose Mendoza practices at 1813 Nagel Rd Ste 500, Avon, OH 44011. The listed phone number is (440) 937-4600.

What is Jose Mendoza's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jose Mendoza enrolled in Medicare?

Yes. Jose 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.

Which organization bills Medicare for Jose Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Mendoza reassigns Medicare benefits to Mercy Health Physicians Lorain, LLC (Lorain, OH). 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 Jose Mendoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jose Mendoza accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, AmeriHealth Caritas Next and Anthem Blue Cross and Blue Shield and 4 other insurers list Jose Mendoza as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jose Mendoza affiliated with any hospitals?

According to CMS data, Jose Mendoza is affiliated with Mercy Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jose Mendoza was last updated on August 29, 2022. 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.