Individual provider Active NPI

Leonardo Cesar Mendoza III, MD

  • Internal Medicine Physician
  • Tucson, AZ
National Provider Identifier
1194798496
Registry record updated Aug 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35869 Issued in AZ
Practice address
1751 W Orange Grove Rd Ste 111
Tucson, AZ 85704-1192
Phone
(520) 593-7761
Fax
(520) 593-7764
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 35869 AZ
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 35867 AZ
Internal Medicine Physician 207R00000X 35869 AZ Primary

Addresses

Primary practice location

1751 W Orange Grove Rd Ste 111
Tucson, AZ 85704-1192

Mailing address

1751 W Orange Grove Rd Ste 111
Tucson, AZ 85704-1192
Phone (520) 593-7761

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20061120000445 AZ Practitioner - Internal Medicine 9931156817 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Medical College of Ohio, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2001 W Orange Grove Rd
Suite 312
Tucson, AZ 85704-1141
Phone (520) 297-8429

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.62 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
72.07

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35869AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Prescott Healthcare Solutions LLC CurrentSince Jul 1, 2024 Accepting new patients
Mendoza Medical LLC Geriatric Medicine CurrentSince Oct 2, 2006 Accepting new patients
Noes/Paulding, LTD Past Accepting new patients
Northwest Ohio Emergency Services, Inc. Past Accepting new patients

Locations

3151 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 458-7583

5902 E Pima St
Tucson, AZ 85712
Phone (520) 886-5315

2171 W Orange Grove Rd
Tucson, AZ 85741
Phone (520) 201-4980

1751 W Orange Grove Rd
Ste 111
Tucson, AZ 85704
Phone (520) 297-3907

2001 W Orange Grove Rd
Ste 312
Tucson, AZ 85704
Phone (520) 297-8429

5981 E Grant Rd
Ste 115
Tucson, AZ 85712
Phone (520) 886-5315

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Dependable Hospice and Palliative Care LLCTucson, AZ, CCN 031692 Hospice Contracted Managing Employee Sep 1, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 4

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.

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": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754438400000",
    "number": "1194798496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1751 W ORANGE GROVE RD STE 111",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041192",
            "telephone_number": "520-593-7761",
            "fax_number": "520-593-7764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1751 W ORANGE GROVE RD STE 111",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857041192",
            "telephone_number": "520-593-7761",
            "fax_number": "520-593-7764"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "LEONARDO",
        "middle_name": "CESAR",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2025-08-06",
        "certification_date": "2025-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "AZ",
            "license": "35869",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AZ",
            "license": "35867",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "35869",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.