Individual provider Active NPI

Victor E. Mendoza, MD

  • Interventional Pain Medicine Physician
  • Birmingham, AL
National Provider Identifier
1003831454
Registry record updated Jan 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
25607 Issued in AL
Practice address
5130 Cyrus Cir
Birmingham, AL 35242-4630
Phone
(205) 981-0414
NPI assigned
Jul 13, 2006
Last updated
Jan 12, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2013

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Anesthesiology) Physician 207LA0401X 25607 AL
Pain Medicine (Anesthesiology) Physician 207LP2900X 25607 AL
Interventional Pain Medicine Physician 208VP0014X 25607 AL Primary

Addresses

Primary practice location

5130 Cyrus Cir
Birmingham, AL 35242-4630

Mailing address

5130 Cyrus Cir
Birmingham, AL 35242-4630
Phone (205) 981-0414

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406000413 AL Practitioner - Interventional Pain ManagementPractitioner - AnesthesiologyPractitioner - Pain ManagementPractitioner - Addiction Medicine 6103819172 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain ManagementAlso: Addiction Medicine, Pain Management
Education
University of Texas Medical School at Houston, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5130 Cyrus Cir
Birmingham, AL 35242-4630
Phone (205) 981-0414

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Anniston Anesthesia PA Past Accepting new patients
Freeman Neosho Hospital Past Accepting new patients
Covenant Pain Therapies Center, Inc Interventional Pain Medicine Past Accepting new patients
Dekalb Anesthesia Associates, LLC Past Accepting new patients
Alabama Pain Center, LLC Pain Medicine Past Accepting new patients

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357948800000",
    "number": "1003831454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 CYRUS CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424630",
            "telephone_number": "205-981-0414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 CYRUS CIR",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352424630",
            "telephone_number": "205-981-0414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "VICTOR",
        "middle_name": "E.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2013-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LA0401X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Addiction Medicine",
            "state": "AL",
            "license": "25607",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "AL",
            "license": "25607",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "AL",
            "license": "25607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.