Individual provider Active NPI

Rachel R Mendoza, MD

  • Family Medicine Physician
  • Capitol Heights, MD
National Provider Identifier
1265092647
Registry record updated Nov 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D98911 Issued in MD
Practice address
1442 Addison Rd S
Capitol Heights, MD 20743-4413
Phone
(301) 888-2233
Fax
(301) 997-1489
NPI assigned
Jun 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X D98911 MD Primary

Addresses

Primary practice location

1442 Addison Rd S
Capitol Heights, MD 20743-4413

Mailing address

1442 Addison Rd S
Capitol Heights, MD 20743-4413
Phone (301) 888-2233

Other names 1

  • Rachel Engle Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20231128001332 MD Practitioner - Family Practice 4880920537 Reassigns benefits to 1 organization
I20231129000033 DC Practitioner - Family Practice 4880920537 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ponce School of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1442 Addison Rd S
Capitol Heights, MD 20743-4413
Phone (301) 888-2233

1458 Addison Rd S
Capitol Heights, MD 20743-4413
Phone (301) 888-2233

6196 Oxon Hill Rd
Suite 540
Oxon Hill, MD 20745-3112
Phone (301) 888-2233

7450 Albert Rd
FL 3
Brandywine, MD 20613-3035
Phone (301) 888-2233

8030 Matthews Rd
Bryans Road, MD 20616-4265
Phone (301) 888-2233

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D98911MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2024 Accepting new patients
Medstar Medical Group II LLC CurrentSince Oct 1, 2024 Accepting new patients
Greater Baden Medical Service Incorporated CurrentSince Nov 8, 2023 Accepting new patients
Greater Baden Medical Service Incorporated Family Medicine CurrentSince Nov 8, 2023 Accepting new patients

Locations

1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401

7450 Albert Rd
Ste 3
Brandywine, MD 20613

7450 Albert Rd
Fl 3
Brandywine, MD 20613
Phone (301) 599-0460

8030 Matthews Rd
#105107
Bryans Road, MD 20616

8030 Matthews Rd
Ste 105107
Bryans Road, MD 20616

1458 Addison Rd S
Capitol Heights, MD 20743
Phone (301) 324-1500

1442 Addison Rd S
Capitol Heights, MD 20743
Phone (301) 324-1500

6 Garrett Ave
La Plata, MD 20646
Phone (301) 539-5100

23140 Moakley St
Ste 4
Leonardtown, MD 20650
Phone (301) 997-1029

21729 Great Mills Rd
Ste C
Lexington Park, MD 20653
Phone (240) 895-8396

6196 Oxon Hill Rd
Ste 540
Oxon Hill, MD 20745
Phone (301) 686-1665

Interoperability endpoints

  • Direct secure messaging: rachel.mendoza@gbms.eclinicaldirectplus.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699401600000",
    "number": "1265092647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1442 ADDISON RD S",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207434413",
            "telephone_number": "301-888-2233",
            "fax_number": "301-997-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1442 ADDISON RD S",
            "city": "CAPITOL HEIGHTS",
            "state": "MD",
            "postal_code": "207434413",
            "telephone_number": "301-888-2233",
            "fax_number": "301-997-1489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "RACHEL",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-18",
        "last_updated": "2023-11-08",
        "certification_date": "2023-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D98911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "ENGLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Capitol Heights, MD

Sources for this page

Verify at the official NPI Registry.