Ronald Mendonza, MD

Key facts

NPI

1184667271

Entity type

Individual (NPI type 1)

Primary specialty

Internal Medicine Physician 207R00000X

License

128133 (NY)

Practice address

Cattaraugus Indian Reservation Health Center
36 Thomas Indian School Drive
Irving, NY 14081

Phone

(716) 532-5582

Fax

(716) 532-0110

NPI assigned

Jun 14, 2006

Sex

Male

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 13, 2026.

{
    "created_epoch": "1150243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1184667271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 FOX CHAPEL DR",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141273023",
            "telephone_number": "716-532-5582",
            "fax_number": "716-532-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CATTARAUGUS INDIAN RESERVATION HEALTH CENTER",
            "address_2": "36 THOMAS INDIAN SCHOOL DRIVE",
            "city": "IRVING",
            "state": "NY",
            "postal_code": "14081",
            "telephone_number": "716-532-5582",
            "fax_number": "716-532-0110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDONZA",
        "first_name": "RONALD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "128133",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT HEALTH",
            "identifier": "6408377",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "6001803",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Irving, NY · Internal Medicine Physician in New York