NPIMap

Organization Active NPI

Mendelson Orthopedics PC

Doing business as mendelson kornblum orthopedic and spine surgeons

  • Durable Medical Equipment & Medical Supplies
  • Sterling Heights, MI
National Provider Identifier
1124336326
Registry record updated Jul 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
MENDELSON ORTHOPEDICS PC
Doing business as
mendelson kornblum orthopedic and spine surgeons
Practice address
35735 Mound Rd
Sterling Heights, MI 48310-4728
Phone
(586) 261-1960
Fax
(586) 261-1961
NPI assigned
Sep 22, 2010
Last updated
Jul 12, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MENDELSON ORTHOPEDICSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 12, 2024

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

Authorized official

Name
David Mendelson, MDNPI 1124018833
Title
Physician
Phone
(586) 261-1960

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

35735 Mound Rd
Sterling Heights, MI 48310-4728

Mailing address

500 Stephenson Hwy Ste 300
Troy, MI 48083-1118
Phone (586) 261-1960

Other names 1

  • mendelson kornblum orthopedic and spine surgeons Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101210000436 MI DME Supplier - Physician - Orthopedic/Orthopedic Surgery 8426008368 Practice locations: Sterling Heights, MI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Mendelson Orthopedics P18 organizations share this tax ID, including this one
Part of
Mendelson Orthopedics P

Other organizations with this tax ID 17

Organizations that report the same tax identification number in the National Provider Directory.

View all 17

Locations

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

Practitioners & affiliated clinicians

Practitioners 28

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 28

NPI Registry JSON

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

{
    "created_epoch": "1285113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720742400000",
    "number": "1124336326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 STEPHENSON HWY STE 300",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831118",
            "telephone_number": "586-261-1960",
            "fax_number": "586-261-1961"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35735 MOUND RD",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104728",
            "telephone_number": "586-261-1960",
            "fax_number": "586-261-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDELSON ORTHOPEDICS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENDELSON ORTHOPEDICS",
        "enumeration_date": "2010-09-22",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A",
        "authorized_official_last_name": "MENDELSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "586-261-1960",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mendelson kornblum orthopedic and spine surgeons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.