Active NPI
Robert J Mendez, DO
- Pain Medicine (Anesthesiology) Physician
- Portsmouth, VA
National Provider Identifier
1093707606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- License
- 0102036928
- Practice address
- 3315 High St
Portsmouth, VA 23707-3319 - Phone
- (757) 399-0759
- Fax
- (757) 397-8957
- NPI assigned
- Aug 19, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | 0102036928 | VA | Primary |
Addresses
Primary practice location
3315 High St
Portsmouth, VA 23707-3319
Mailing address
3315 High St
Portsmouth, VA 23707-3319
Phone (757) 399-0759
Other identifiers 16
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 150684200 | Other | OWCP FED WC VIA ACS | |
| 265207 | Other | BCBS OF VA | |
| 5828988 | Medicaid | VA | |
| A1798 | Other | MEDCOST | |
| 10010981 | Other | VA | SENTARA |
| 265207 | Other | PENINSULA HEALTHCARE INC | |
| 54-1951442 | Other | CORVEL WC PROVIDER NETWOR | |
| 9803412001 | Other | CIGNA | |
| 10010981 | Other | VA | SENTARA PPO |
| 54-1951442 | Other | MIDATLANTIC HEALTH SOLUTI | |
| 54-1951442 | Other | VA | HEALTH NETWORK |
| 200374 | Other | VA | PHYSICIAN NETWORK |
| 265207 | Other | PRIORITY HEALTH CARE INC | |
| 54-1951442 | Other | AETNA | |
| 265207 | Other | HEALTHKEEPERS | |
| 790618Z | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Center for Pain Management | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pain Clinic/Center
- Portsmouth, VA
- NPI 1639236284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1124409600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1300924800000",
"number": "1093707606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3315 HIGH ST",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237073319",
"telephone_number": "757-399-0759",
"fax_number": "757-397-8957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3315 HIGH ST",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237073319",
"telephone_number": "757-399-0759",
"fax_number": "757-397-8957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDEZ",
"first_name": "ROBERT",
"middle_name": "J",
"name_prefix": "Mr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-19",
"last_updated": "2011-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "207LP2900X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pain Medicine",
"state": "VA",
"license": "0102036928",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OWCP FED WC VIA ACS",
"identifier": "150684200",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF VA",
"identifier": "265207",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5828988",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "A1798",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA",
"identifier": "10010981",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PENINSULA HEALTHCARE INC",
"identifier": "265207",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CORVEL WC PROVIDER NETWOR",
"identifier": "54-1951442",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "9803412001",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SENTARA PPO",
"identifier": "10010981",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MIDATLANTIC HEALTH SOLUTI",
"identifier": "54-1951442",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NETWORK",
"identifier": "54-1951442",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICIAN NETWORK",
"identifier": "200374",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIORITY HEALTH CARE INC",
"identifier": "265207",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "54-1951442",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHKEEPERS",
"identifier": "265207",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "790618Z",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.