Ben Ryan Mendoza III, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

DR.52257 Issued in CO

Practice address

11160 Huron St Ste 31
Northglenn, CO 80234-3335

Phone

(720) 689-4151

Fax

(720) 547-1562

NPI assigned

Jun 21, 2010

Last updated

Oct 24, 2025By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 31, 2025 through Jan 31, 2027

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.

• Elevated Direct Primary Care, P.C.

  • Primary Care Clinic/Center
  • Northglenn, CO
  • NPI 1972327500
  NPD Authorized official

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

{
    "created_epoch": "1277078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761264000000",
    "number": "1285955534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 HURON ST STE 31",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802343335",
            "telephone_number": "720-689-4151",
            "fax_number": "720-547-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 HURON ST STE 31",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802343335",
            "telephone_number": "720-689-4151",
            "fax_number": "720-547-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "BEN",
        "middle_name": "RYAN",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-21",
        "last_updated": "2025-10-24",
        "certification_date": "2025-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "DR.52257",
            "primary": true
        },
        {
            "code": "207RB0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Obesity Medicine",
            "state": "CO",
            "license": "DR.52257",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18758541",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julie Mearkle, M.A.
• Bryn Anne Medley, MA
• Rebecca Mehlin, RN
• Laura R Mehringer, MS, RXN, CNS, LLC
• Celestina Mendoza Mariscal
• Jordan Holly Mendoza, M.D.
• Erin M Mercer, M.A, CCC-SLP
• Tayler Mese
• Beryl Meyertons, L.AC RN
• Mia-Master Internal Awareness LTD

• Internal Medicine Physician in Northglenn, CO
• Providers in Northglenn, CO by specialty
• Internal Medicine Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2025; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.