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DR. HUMBERTO GERARDO MENDOZA M.D.
NPI 1902284110
Student in an Organized Health Care Education/Training Program in Bridgeport, CT

Active since May 08, 2015PECOS Enrolled
267 GRANT STREET, MED ED PODIUM 4, BRIDGEPORT, CT 06610(203) 384-4442 Get Directions Write a Review

NPPES record last updated: April 8, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 8, 2024, Jan 3, 2016 (2 updates tracked since 2016).

About Dr. Humberto Gerardo Mendoza M.d. NPPES

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

DR. HUMBERTO GERARDO MENDOZA M.D. (NPI 1902284110) is an individual student in an organized health care education/training program in Bridgeport, Connecticut and active in the NPI registry since May 2015. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1902284110
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. HUMBERTO GERARDO MENDOZACredential: M.D.
Location Address267 GRANT STREET, MED ED PODIUM 4Bridgeport, CT 06610-0120
Mailing Address267 Grant Street, Med Ed Podium 4Bridgeport, CT 06610-0120
Phone(203) 384-4442
Sole ProprietorNo
Enumeration DateMay 8, 2015
Last NPPES UpdateApril 8, 20242 updates tracked since enumeration
NPPES CertifiedApril 8, 2024
✔ NPI 1902284110 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
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.
267 GRANT STREET, Bridgeport, CT 06610
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Secondary Practice Location 1

Location 11400 Pelham Pkwy SBronx, NY 10461-1138 · Phone (718) 918-3045

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Humberto Gerardo Mendoza M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

MS. LUCIA PLICHTOVA M.D.
Internal Medicine
267 GRANT STREET
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3792
MRS. KAYLA ANGELA BOYEA MD
Student in an Organized Health Care Education/Training Program
267 GRANT STREET
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-4442
MRS. MAYSSAA HOTEIT M.D
Student in an Organized Health Care Education/Training Program
267 GRANT STREET
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-4442
EVGENY SHKOLNIK M.D.
Internal Medicine (Cardiovascular Disease)
267 GRANT STREET, BRIDGEPORT HOSPITAL INTERNAL MEDICINE RESIDENCY PROGRAM
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3792
DR. KWABENA SEFAH NKETIAH SARPONG MBCHB
Student in an Organized Health Care Education/Training Program
267 GRANT STREET
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
SAMDISH SETHI
Student in an Organized Health Care Education/Training Program
267 GRANT STREET
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
KARTHIK MATHIALAGAN M.D
Student in an Organized Health Care Education/Training Program
267 GRANT STREET
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-3000
FRANCES DENU MD
Hospitalist
267 GRANT STREET
BRIDGEPORT, CT 06610
Greater Bridgeport Planning Region (203) 384-4677

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 Humberto Mendoza's NPI number?

The NPI number for Humberto Mendoza is 1902284110. It was assigned to this individual provider in the NPPES registry on May 8, 2015.

Where is Humberto Mendoza located?

Humberto Mendoza practices at 267 Grant Street Med Ed Podium 4, Bridgeport, CT 06610. The listed phone number is (203) 384-4442.

What is Humberto 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 Humberto Mendoza enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Humberto Mendoza was last updated on April 8, 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.