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JOSE FRANCISCO MEDINA MUNDO DDS
NPI 1972357358
Student in an Organized Health Care Education/Training Program in Indianapolis, IN

Active since April 12, 2024PECOS Enrolled
1121 W MICHIGAN ST OFC S425, INDIANAPOLIS, IN 46202(317) 274-8434(317) 278-2818 Get Directions Write a Review

NPPES record last updated: April 12, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jose Francisco Medina Mundo Dds NPPES

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

JOSE FRANCISCO MEDINA MUNDO DDS (NPI 1972357358) is an individual student in an organized health care education/training program in Indianapolis, Indiana and active in the NPI registry since April 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1972357358
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameJOSE FRANCISCO MEDINA MUNDOCredential: DDS
Location Address1121 W MICHIGAN ST OFC S425Indianapolis, IN 46202-5211
Mailing Address1121 W Michigan St Ofc S425Indianapolis, IN 46202-5211 · (317) 274-8434 · Fax (317) 278-2818
Phone(317) 274-8434
Fax(317) 278-2818
Sole ProprietorNo
Enumeration DateApril 12, 2024
NPPES CertifiedApril 12, 2024
✔ NPI 1972357358 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.
1121 W MICHIGAN ST OFC S425, Indianapolis, IN 46202
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Francisco Medina Mundo Dds 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.

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 Medina Mundo's NPI number?

The NPI number for Jose Medina Mundo is 1972357358. It was assigned to this individual provider in the NPPES registry on April 12, 2024.

Where is Jose Medina Mundo located?

Jose Medina Mundo practices at 1121 W Michigan St Ofc S425, Indianapolis, IN 46202. The listed phone number is (317) 274-8434.

What is Jose Medina Mundo's specialty?

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

Is Jose Medina Mundo enrolled in Medicare?

Yes. Jose Medina Mundo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jose Medina Mundo was last updated on April 12, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.