NPIMap

Individual provider Active NPI

Henry P Mendoza, M.D.

  • Internal Medicine Physician
  • Flint, MI
National Provider Identifier
1255426102
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301031986 Issued in MI
Practice address
2239 S Linden Rd
Flint, MI 48532-5412
Phone
(810) 732-0020
Fax
(810) 732-7937
NPI assigned
Oct 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301031986 MI Primary

Addresses

Primary practice location

2239 S Linden Rd
Flint, MI 48532-5412

Mailing address

2239 S Linden Rd
Flint, MI 48532-5412
Phone (810) 732-0020

Other identifiers 2

IdentifierTypeStateIssuer
1015680MedicaidMI
0258594OtherMIBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100923001286 MI Practitioner - Internal Medicine 8224154539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1966
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2239 S Linden Rd
Flint, MI 48532-5412
Phone (810) 732-0020

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
26.83 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
89.42

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301031986MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Henry P Mendoza MD PC Internal Medicine CurrentSince Jan 1, 1973 Accepting new patients
McLaren Flint Past Accepting new patients
Gregorio Imperial, MD PC Past Accepting new patients

Locations

2239 S Linden Rd
Flint, MI 48532
Phone (810) 732-0020

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
All Americans Home Health Care IncFlint, MI, CCN 239115 Home health agency Contracted Managing Employee (5%) Oct 15, 2024
Best Care Hospice LLCFlint, MI, CCN 231706 Hospice Contracted Managing Employee Mar 17, 2022

Owned or controlled facilities with NPI records 2

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

Organizations & group practices 3

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 9

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": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255426102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2239 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325412",
            "telephone_number": "810-732-0020",
            "fax_number": "810-732-7937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 S LINDEN RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485325412",
            "telephone_number": "810-732-0020",
            "fax_number": "810-732-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "HENRY",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301031986",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015680",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0258594",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.