Active NPI
Michelle Lyn Mendoza, MD
- Emergency Medicine Physician
- Tampa, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 0101277343
- Practice address
- 1 Davis Blvd Ste 503
Tampa, FL 33606-3480 - Phone
- (813) 627-5973
- NPI assigned
- May 31, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 0101277343 | VA | Primary |
| Emergency Medicine Physician | 207P00000X | 235736 | MA | |
| Emergency Medicine Physician | 207P00000X | ME136766 | FL |
Addresses
Primary practice location
1 Davis Blvd Ste 503
Tampa, FL 33606-3480
Mailing address
3126 W Euclid Ave
Tampa, FL 33629-8920
Other practice location 1
2495 Pocahontas Trl
Quinton, VA 23141-1637
Phone (804) 932-5500
Other practice location 2
1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-0996
Other practice location 3
300 Mt Clement Park Ste A
Tappahannock, VA 22560-5098
Phone (804) 443-8610
Other practice location 4
PO Box 44008
Jacksonville, FL 32231-4008
Phone (904) 244-3131
Other practice location 5
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 421-1400
Other practice location 6
1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone (804) 443-6297
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 110080005A | Medicaid | MA |
Other names 1
- Michelle Mendoza Allen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL, VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1755 N Mecklenburg Ave
South Hill, VA 23970-4080
Phone (434) 447-3151
3001 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6307
Phone (813) 870-4000
350 7TH St N
Naples, FL 34102-5754
Phone (239) 436-5000
Hospital & facility affiliations
- South Florida Baptist Hospital
- Naples Community Hospital
- Vcu Health Tappahannock Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME136766 | FL | MD | Emergency Medicine Physician |
| 0101277343 | VA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CMH Physician Services, LLC | Current | Accepting new patients | |
| Bay Area Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| MCV Associated Physicians | Emergency Medicine | Current | Accepting new patients |
| Observation Medical Group LLC | Emergency Medicine | Current | Accepting new patients |
| Tampa General Hospital | Current | Accepting new patients | |
| Observation Medical Group LLC | Emergency Medicine | Current | Accepting new patients |
| Florida Emergency Physicians Kang and Associates MD LLC | Emergency Medicine | Current | Accepting new patients |
| Inphynet Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage, LLC | Emergency Medicine | Current | Accepting new patients |
| Thse - Marco Urgent Care LLC | Current | Accepting new patients | |
| Paragon Emergency Services LLC | Emergency Medicine | Current | Accepting new patients |
| CMH Physician Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Medical Associates of Tampa Bay, LLC | Emergency Medicine | Current | Accepting new patients |
| Southwest Florida Emergency Management LLC | Emergency Medicine | Current | Accepting new patients |
| Paragon Contracting Services LLC | Emergency Medicine | Current | Accepting new patients |
| Pasco County Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Coverage Services, PC | Past | Accepting new patients |
Locations
601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200
300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552
1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300
40 S Heathwood Dr
Marco Island, FL 34145
Phone (239) 393-4079
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
11190 Health Park Blvd
Naples, FL 34110
Phone (239) 300-9721
6600 Madison St
New Pt Richey, FL 34652
Phone (727) 841-4611
6901 Simmons Loop
Riverview, FL 33578
Phone (813) 302-8000
1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325
3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
1 Tampa General Cir
University of Tampa, FL 33606
Phone (813) 251-5822
4501 Bruce B Downs Blvd
Wesley Chapel, FL 33544
Phone (813) 870-4000
200 Avenue F NE
Winter Haven, FL 33881
Phone (863) 292-4652
615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699
1135 Carthage St
Sanford, NC 27330
Phone (910) 774-2100
2495 Pocahontas Trl
Quinton, VA 23141
Phone (804) 932-5500
1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990
1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
1755 N Mecklenburg Ave
South Hill, VA 23970
Phone (434) 584-2273
300 Mt Clement Park
Ste A
Tappahannock, VA 22560
Phone (804) 443-6297
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
- mmendoza138902@direct.tgh.org
Organizations & group practices 19
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.
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1023397817
-
- Emergency Medicine Physician
- Naples, FL
- NPI 1780911206
-
- Emergency Medicine Physician
- Clearwater, FL
- NPI 1164459095
-
- Emergency Medical Services (Emergency Medicine) Physician
- Orlando, FL
- NPI 1811983752
-
- Emergency Medicine Physician
- Delray Beach, FL
- NPI 1073556767
-
- Emergency Medicine Physician
- Tampa, FL
- NPI 1952763682
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
-
- Emergency Medicine Physician
- New Port Richey, FL
- NPI 1568771707
-
- Internal Medicine Physician
- Marco Island, FL
- NPI 1801125331
-
- Internal Medicine Physician
- South Hill, VA
- NPI 1194760645
Emergency Medicine
-
- Family Medicine Physician
- Newport, TN
- NPI 1427005008
Emergency Medicine, NC, VA
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Naples, FL
- NPI 1720085137
-
- General Acute Care Hospital
- Plant City, FL
- NPI 1548205883
-
- General Acute Care Hospital
- Tappahannock, VA
- NPI 1760580757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1180569600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773100800000",
"number": "1265633648",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3126 W EUCLID AVE",
"city": "TAMPA",
"state": "FL",
"postal_code": "336298920"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 DAVIS BLVD STE 503",
"city": "TAMPA",
"state": "FL",
"postal_code": "336063480",
"telephone_number": "813-627-5973"
}
],
"practiceLocations": [
{
"address_1": "2495 Pocahontas Trl",
"address_purpose": "LOCATION",
"city": "Quinton",
"state": "VA",
"postal_code": "231411637",
"country_code": "US",
"telephone_number": "804-932-5500",
"fax_number": "804-932-5531",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 E Marshall St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985023",
"country_code": "US",
"telephone_number": "804-828-0996",
"fax_number": "804-628-0384",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "300 Mt Clement Park Ste A",
"address_purpose": "LOCATION",
"city": "Tappahannock",
"state": "VA",
"postal_code": "225605098",
"country_code": "US",
"telephone_number": "804-443-8610",
"fax_number": "804-443-8620",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "PO Box 44008",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "322314008",
"country_code": "US",
"telephone_number": "904-244-3131",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "55 Lake Ave N",
"address_purpose": "LOCATION",
"city": "Worcester",
"state": "MA",
"postal_code": "016550002",
"country_code": "US",
"telephone_number": "508-421-1400",
"fax_number": "508-421-1490",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1755 N Mecklenburg Ave",
"address_purpose": "LOCATION",
"city": "South Hill",
"state": "VA",
"postal_code": "239704080",
"country_code": "US",
"telephone_number": "804-443-6297",
"fax_number": "804-443-6161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDOZA",
"first_name": "MICHELLE",
"middle_name": "LYN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-31",
"last_updated": "2026-03-10",
"certification_date": "2026-03-10",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "VA",
"license": "0101277343",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MA",
"license": "235736",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME136766",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "110080005A",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "ALLEN",
"middle_name": "MENDOZA",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Tampa, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2026; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.