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MICHAEL MENDOZA CNS
NPI 1730918293
Nutritionist in White Plains, MD

Active since July 31, 2024
4560 CRAIN HWY STE 11, WHITE PLAINS, MD 20695(240) 210-9725 Get Directions Write a Review

NPPES record last updated: July 31, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Michael Mendoza Cns NPPES

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

MICHAEL MENDOZA CNS (NPI 1730918293) is an individual nutritionist in White Plains, Maryland and active in the NPI registry since July 2024. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1730918293
Entity TypeIndividualMale
Primary Taxonomy133N00000X
Provider Legal NameMICHAEL MENDOZACredential: CNS
Location Address4560 CRAIN HWY STE 11White Plains, MD 20695-3084
Mailing Address4560 Crain Hwy Ste 11White Plains, MD 20695-3084
Phone(240) 210-9725
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateJuly 31, 2024
NPPES CertifiedJuly 31, 2024
✔ NPI 1730918293 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNutritionistDietary & Nutritional Service Providers
Taxonomy Code133N00000X
Definition
A specialist in adapting and applying food and nutrient knowledge to the solution of food and nutritional problems, the control of disease, and the promotion of health. Nutritionists perform research, instruct groups and individuals about nutritional requirements, and assist people in developing meal patterns that meet their nutritional needs; (2) A nutritionist is someone who has completed undergraduate and/or graduate training in the discipline of nutrition without necessarily meeting the academic and experience requirements to qualify for the Registered Dietitian designation.
4560 CRAIN HWY STE 11, White Plains, MD 20695
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Michael Mendoza Cns is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3971073065
PECOS Enrollment IDI20260529002626

Medicare Billing Reassignments

2

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

Core Value Corporation
Same address
Dietitian, Registered
4560 CRAIN HWY STE 12
White Plains, MD 20695
  • Reassigned Medicare billing, Maryland enrollment
  • 13 clinicians in this Medicare group
NPI 1265961247 (240) 210-9725
Simplex Health
142 mi
Dietitian, Registered
300 BROOKSIDE AVE STE 125
Ambler, PA 19002
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 38 clinicians in this Medicare group
NPI 1598137218 (484) 416-4243

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

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. EMILY BALEA-HOPKINS RD
Dietitian, Registered
4560 CRAIN HWY STE 11
WHITE PLAINS, MD 20695
Charles County (240) 270-1131
DAYANETH YOLANDA LOPEZ
Dietitian, Registered
4560 CRAIN HWY STE 11
WHITE PLAINS, MD 20695
Charles County (240) 210-9725

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 Michael Mendoza's NPI number?

The NPI number for Michael Mendoza is 1730918293. It was assigned to this individual provider in the NPPES registry on July 31, 2024.

Where is Michael Mendoza located?

Michael Mendoza practices at 4560 Crain Hwy Ste 11, White Plains, MD 20695. The listed phone number is (240) 210-9725.

What is Michael Mendoza's specialty?

The primary specialty registered for this NPI is Nutritionist with taxonomy code 133N00000X.

Is Michael Mendoza enrolled in Medicare?

Yes. Michael Mendoza is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Michael Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mendoza reassigns Medicare benefits to 2 organizations: Core Value Corporation (White Plains, MD) and Simplex Health (Ambler, PA). 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 Michael 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 Michael Mendoza was last updated on July 31, 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.