Individual provider Active NPI

Alice Mendelson, MD

  • Orthopaedic Surgery Physician
  • Livonia, MI
National Provider Identifier
1104816081
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
4301074428 Issued in MI
Practice address
36622 Five Mile Rd Ste 101
Livonia, MI 48154-1900
Phone
(734) 542-0200
Fax
(734) 542-0220
NPI assigned
Oct 24, 2005
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 4301074428 MI Primary

Addresses

Primary practice location

36622 Five Mile Rd Ste 101
Livonia, MI 48154-1900

Mailing address

36622 Five Mile Rd Ste 101
Livonia, MI 48154-1900
Phone (734) 542-0200

Other identifiers 2

IdentifierTypeStateIssuer
4639122MedicaidMI
200E011770OtherMIBCBS GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20041012001473 MI Practitioner - Orthopedic Surgery 3072573278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dearborn Physical Therapy LTDGroup PAC ID 2668383910, shared by 2 NPIs, 97 clinicians
Mendelson Orthopedics PCGroup PAC ID 8426008368, 69 clinicians

Practice addresses (Care Compare)

23852 Michigan Ave
Dearborn, MI 48124-1829

36622 5 Mile Rd
Livonia, MI 48154-1900
Phone (734) 542-0200

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301074428MIMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Spine and Orthopedic Surgery Center, LLC CurrentSince May 26, 2014 Accepting new patients
Mendelson Orthopedics PC CurrentSince Sep 13, 2004 Accepting new patients
Mendelson Orthopedics PC Orthopaedic Surgery CurrentSince Sep 13, 2004 Accepting new patients
Ascension Medical Group Michigan Orthopaedic Surgery Past Accepting new patients
Mendelson Orthopedics PC Orthopaedic Surgery Past Accepting new patients

Locations

14555 Levan Rd
Ste 215
Livonia, MI 48154
Phone (734) 542-0200

36622 5 Mile Rd
Livonia, MI 48154
Phone (734) 542-0200

36622 5 Mile Rd
Ste 101
Livonia, MI 48154
Phone (734) 526-1791

35735 Mound Rd
Ste 100
Sterling Heights, MI 48310
Phone (586) 261-1960

11900 E 12 Mile Rd
Ste 110
Warren, MI 48093
Phone (586) 261-1960

27472 Schoenherr Rd
Ste 140
Warren, MI 48088
Phone (586) 439-6242

5504 E 12 Mile Rd
Warren, MI 48092
Phone (586) 439-6242

Interoperability endpoints

  • Direct secure messaging: amendelson1141289@direct.hfhs.org
  • Direct secure messaging: amendelson37551@direct.trinity-health.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1130112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1104816081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36622 FIVE MILE RD STE 101",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541900",
            "telephone_number": "734-542-0200",
            "fax_number": "734-542-0220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36622 FIVE MILE RD STE 101",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481541900",
            "telephone_number": "734-542-0200",
            "fax_number": "734-542-0220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDELSON",
        "first_name": "ALICE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-24",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "4301074428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4639122",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "200E011770",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Livonia, MI

Sources for this page

Verify at the official NPI Registry.