Maria Mendez, MD

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

MD031178E Issued in PA

Practice address

235 N Broad St
Suite 200 Clinical Nephrology Assoc
Philadelphia, PA 19107-1511

Phone

(215) 762-7785

Fax

(215) 568-6007

NPI assigned

Oct 5, 2006

Last updated

Sep 21, 2010By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Clinical Nephrology Associates, LTD.

  • Nephrology Physician
  • Philadelphia, PA
  • NPI 1457447799
  Medicare reassignment NPD
• Metropolitan Nephrology Associates, P.C.

  • Nephrology Physician
  • Philadelphia, PA
  • NPI 1417900630
  Medicare reassignment NPD
• Metrovascular, LLC

  dba Metro Vascular Center

  • Ambulatory Surgical Clinic/Center
  • Philadelphia, PA
  • NPI 1184167546
  Authorized official Same address or phone
• Metropolitan Nephrology Associates, PC

  dba Metro Vascular Center

  • Ambulatory Surgical Clinic/Center
  • Philadelphia, PA
  • NPI 1043758790

  Nephrology

  NPD

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1245326636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 N BROAD ST",
            "address_2": "SUITE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071511",
            "telephone_number": "215-762-7785",
            "fax_number": "215-568-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 N BROAD ST",
            "address_2": "SUITE 200 CLINICAL NEPHROLOGY ASSOC",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191071511",
            "telephone_number": "215-762-7785",
            "fax_number": "215-568-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "MARIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "PA",
            "license": "MD031178E",
            "primary": true
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NJ",
            "license": "25MA06001600",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001048340",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariana Mendez-Tadel, MD
• Ernesto Mendez, PT, DPT
• James D Mendez, CRNP
• Jessica M Mendez
• Kendra Mendez, MD
• Mendful Minds Wellness Center, LLC
• Matthew Mendillo, APRN,FNP-C
• Mending Hearts and Lives, LLC
• Matthew Thomas Mendlik, MD
• Michael L Mendlow, DDS

• Nephrology Physician in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Nephrology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.