Carmelo Cabalu Mendiola, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

00017265 Issued in AL

Practice address

2202 Jordan Road SW
Suite 500
Fort Payne, AL 35968-3688

Phone

(256) 844-2825

Fax

(256) 844-2834

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Specialty

Internal Medicine

Education

Other, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• RCG Fort Payne Dialysis facility, Fort Payne, AL, CCN 012595
• Enhabit Home Health Home health agency, Hoover, AL, CCN 017009
• Alabama Homecare Fort Payne Home health agency, Fort Payne, AL, CCN 017093
• Amedisys Home Health of Fort Payne Home health agency, Rainesville, AL, CCN 017158
• Centerwell Home Health Home health agency, Rainbow City, AL, CCN 017018
• Medical Centers Homecare Home health agency, Albertville, AL, CCN 017128
• Enhabit Hospice Birmingham Hospice, Hoover, AL, CCN 011543
• Dekalb Regional Medical Center Hospital, Fort Payne, AL, CCN 010012
• Marshall Medical Centers Hospital, Boaz, AL, CCN 010005

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• MS PPO D-SNP
• MS PPO
• MS PPO C-SNP
• FL PPO

Interoperability endpoints

• Direct secure messaging: cmendiol@yourcarecommunity.org

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

• Mendiola PC

  • Internal Medicine Physician
  • Fort Payne, AL
  • NPI 1265681167
  Medicare reassignment NPD Authorized official
• Fort Payne Hospital Organization

  • Hospitalist Physician
  • Fort Payne, AL
  • NPI 1083663579
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Nna of Alabama, Inc.

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Fort Payne, AL
  • NPI 1639281470

  Dialysis facility

  Care Compare affiliation Name & address match
• Amedisys Home Health of Alabama, LLC

  • Home Health Agency
  • Rainsville, AL
  • NPI 1861413890
  Care Compare affiliation
• Eh Health Home Health of Birmingham, LLC

  • Home Health Agency
  • Hoover, AL
  • NPI 1629539077
  Care Compare affiliation
• Eh Health Hospice of Alabama, LLC

  • Community Based Hospice Care Agency
  • Hoover, AL
  • NPI 1609337229
  Care Compare affiliation
• Fort Payne Home Care, LLC

  • Home Health Agency
  • Fort Payne, AL
  • NPI 1790720076
  Care Compare affiliation
• HH Health System - Dekalb, LLC

  • General Acute Care Hospital
  • Fort Payne, AL
  • NPI 1770344665
  Care Compare affiliation
• HH Health System - Marshall LLC

  • General Acute Care Hospital
  • Boaz, AL
  • NPI 1407313760
  Care Compare affiliation
• Medical Centers Homecare, LLC

  • Home Health Agency
  • Albertville, AL
  • NPI 1568645836
  Care Compare affiliation
• Mid-South Home Health of Gadsden, LLC

  • Home Health Agency
  • Rainbow City, AL
  • NPI 1740219591
  Care Compare affiliation

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233014400000",
    "number": "1023063922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2202 JORDAN ROAD SW",
            "address_2": "SUITE 500",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683688",
            "telephone_number": "256-844-2825",
            "fax_number": "256-844-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2202 JORDAN ROAD SW",
            "address_2": "SUITE 500",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683688",
            "telephone_number": "256-844-2825",
            "fax_number": "256-844-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIOLA",
        "first_name": "CARMELO",
        "middle_name": "CABALU",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2009-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "00017265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051534925",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "510-03718",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051557680",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "515-34925",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "541385603",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Elizabeth Meadows, RD
• Med Care LLC
• Med-South, Inc.
• Anna Black Medley, PA-C
• Mendiola PC
• Heather Miller
• Robert Charles Mills, MD
• Daniel Martin Mince, MD
• Mind Right, LLC
• Alexis Diane Mitchell, CRNP

• Internal Medicine Physician in Fort Payne, AL
• Providers in Fort Payne, AL by specialty
• Internal Medicine Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.