Individual provider Active NPI

Michelle Lyn Mendoza, MD

  • Emergency Medicine Physician
  • Tampa, FL
National Provider Identifier
1265633648
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
0101277343 Issued in VA
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

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
110080005AMedicaidMA

Other names 1

  • Michelle Mendoza Allen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA, NC3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180809000912 FL Practitioner - Emergency Medicine 8123194578 Reassigns benefits to 12 organizations
I20230309000602 VA Practitioner - Emergency Medicine 8123194578 Reassigns benefits to 3 organizations
I20231102001185 NC Practitioner - Emergency Medicine 8123194578 Reassigns benefits to 1 organization

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
MCV Associated PhysiciansGroup PAC ID 4385542117, 1,779 clinicians
Emergency Medical Associates of Tampa Bay LLCGroup PAC ID 3678746674, 84 clinicians
Southwest Florida Emergency Management LLCGroup PAC ID 0648314393, 42 clinicians

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 Hospital, Plant City, FL, CCN 100132
  • Naples Community Hospital Hospital, Naples, FL, CCN 100018
  • Vcu Health Tappahannock Hospital Hospital, Tappahannock, VA, CCN 490084

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME136766FLMDEmergency Medicine Physician
0101277343VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
CMH Physician Services, LLC CurrentSince Jul 10, 2023 Accepting new patients
Bay Area Emergency Physicians LLC Emergency Medicine CurrentSince Jun 15, 2023 Accepting new patients
MCV Associated Physicians Emergency Medicine CurrentSince Sep 16, 2024 Accepting new patients
Observation Medical Group LLC Emergency Medicine CurrentSince Jul 24, 2025 Accepting new patients
Tampa General Hospital Current Accepting new patients
Observation Medical Group LLC Emergency Medicine CurrentSince Jul 24, 2025 Accepting new patients
Florida Emergency Physicians Kang and Associates MD LLC Emergency Medicine CurrentSince Mar 1, 2023 Accepting new patients
Inphynet Contracting Services LLC Emergency Medicine CurrentSince Jun 1, 2018 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Apr 1, 2023 Accepting new patients
Thse - Marco Urgent Care LLC CurrentSince Dec 1, 2022 Accepting new patients
Paragon Emergency Services LLC Emergency Medicine CurrentSince Oct 15, 2022 Accepting new patients
CMH Physician Services, LLC Emergency Medicine CurrentSince Jul 10, 2023 Accepting new patients
Emergency Medical Associates of Tampa Bay, LLC Emergency Medicine CurrentSince Jul 24, 2025 Accepting new patients
Southwest Florida Emergency Management LLC Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
Paragon Contracting Services LLC Emergency Medicine CurrentSince Jun 1, 2024 Accepting new patients
Pasco County Emergency Physicians LLC Emergency Medicine CurrentSince Jun 15, 2023 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

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: 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.

View all 19

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": "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

Verify at the official NPI Registry.