Kristen Ann V. Mendoza, M.D.

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

35139232 Issued in OH

Practice address

915 Olentangy River Rd
Columbus, OH 43212-3153

Phone

(614) 293-8116

Fax

(614) 293-5315

NPI assigned

Jun 4, 2015

Last updated

Nov 16, 2020By the provider in NPPES

Sex

Female

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH, NY, KY3 enrollments

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 3

Specialty

Ophthalmology

Education

Ohio State University College of Medicine, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri-State Centers for Sight IncGroup PAC ID 7113812090, shared by 8 NPIs, 37 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Elizabeth Edgewood Hospital, Edgewood, KY, CCN 180035

Merit-based Incentive Payment System (MIPS)

Final score

93.01 of 100Reported as apm

Quality

86.02

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H9678
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: kmendoza@tristatesight.intellechartdirect.net

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.

• Tri-State Centers for Sight Inc

  • Ophthalmologic Surgery Clinic/Center
  • Cincinnati, OH
  • NPI 1871698894
  Medicare reassignment NPD
• Tri-State Centers for Sight, Inc.

  • Ophthalmology Physician
  • Cincinnati, OH
  • NPI 1912232505
  Medicare reassignment NPD
• Icahn School of Medicine at Mount Sinai

  dba Ophthalmology Department of Mount Sinai

  • Ophthalmology Physician
  • New York, NY
  • NPI 1437421252
  Medicare reassignment NPD
• Tri-State Centers for Sight, Inc.

  • Ophthalmology Physician
  • Crestview Hills, KY
  • NPI 1467520296
  Medicare reassignment NPD
• Midwest Eye Surgery Center

  • Ophthalmologic Surgery Clinic/Center
  • Cincinnati, OH
  • NPI 1083098016
  NPD
• Tri-State Centers for Sight Inc

  • Ophthalmology Physician
  • Cincinnati, OH
  • NPI 1477920288
  NPD
• Icahn School of Medicine at Mount Sinai

  dba New York Eye & Ear Optical Shop

  • Eyewear Supplier
  • New York, NY
  • NPI 1760227466

  Ophthalmology

  NPD
• Tri-State Centers for Sight Inc

  dba Kentucky Eye Institute

  • Ophthalmology Physician
  • London, KY
  • NPI 1124831672
  NPD
• Tri-State Centers for Sight Inc

  dba Kentucky Eye Institute

  • Ophthalmology Physician
  • Corbin, KY
  • NPI 1932912466
  NPD
• Tri-State Centers for Sight, Inc.

  dba Midwest Eye Center

  • Ophthalmology Physician
  • Crestview Hills, KY
  • NPI 1396886610
  NPD

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

• St Elizabeth Medical Center, Inc

  • General Acute Care Hospital
  • Edgewood, KY
  • NPI 1467492421
  Care Compare affiliation

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

{
    "created_epoch": "1433376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1033599055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 ACKERMAN RD STE 2120",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432021559",
            "telephone_number": "614-293-8116",
            "fax_number": "614-293-5315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 OLENTANGY RIVER RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432123153",
            "telephone_number": "614-293-8116",
            "fax_number": "614-293-5315"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "KRISTEN ANN",
        "middle_name": "V.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-04",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35139232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0410154",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kmendoza33587@direct.osumc.edu",
            "affiliation": "N",
            "address_1": "915 Olentangy River Rd",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432123153",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Vivek Mendiratta, MD
• Anna Mendlein, MSW, LSW
• Janet Field Mendola, M.D.
• Lauren Mendonsa
• Alyssa-Claire Torres Mendoza, MD
• Megan Mendoza
• Tanya Mendoza, CDCA.189728
• Victoria Anne Rodriguez Mendoza, APRN-CNP
• Victoria Layne Mendoza, RN
• Angelena Menefee

• Ophthalmology Physician in Columbus, OH
• Providers in Columbus, OH by specialty
• Ophthalmology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.