Luis E Mendoza, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

016004474 Issued in IL

Practice address

5610 W Cermak Rd
Cicero, IL 60804

Phone

(708) 780-8661

Fax

(708) 231-9818

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Potach-Moon Podiatry Group LLCGroup PAC ID 2466760251, 2 clinicians

Podiatry Service of America CorpGroup PAC ID 2668745282, 3 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Potach-Moon Podiatry Group, LLC

  • Foot & Ankle Surgery Podiatrist
  • Cicero, IL
  • NPI 1679957914
  Medicare reassignment Care Compare group NPD Authorized official
• Luis E. Mendoza LTD

  • Podiatrist
  • Cicero, IL
  • NPI 1922287663
  Medicare reassignment NPD Authorized official
• Podiatry Service of America Corp

  • Foot & Ankle Surgery Podiatrist
  • Wheeling, IL
  • NPI 1720501257
  Medicare reassignment Care Compare group NPD
• Aaa Foot & Ankle Associates

  • Foot & Ankle Surgery Podiatrist
  • Evanston, IL
  • NPI 1467676536
  NPD (past)

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678838400000",
    "number": "1306887328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5610 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "60804",
            "telephone_number": "708-780-8661",
            "fax_number": "708-231-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5610 W CERMAK RD",
            "city": "CICERO",
            "state": "IL",
            "postal_code": "60804",
            "telephone_number": "708-780-8661",
            "fax_number": "708-231-9818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "LUIS",
        "middle_name": "E",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2023-03-15",
        "certification_date": "2023-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IL",
            "license": "016004474",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016004474",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melissa Medina
• Hemlata Meena, M.D.
• Mukundini S Mehta, MD
• Vanessa Melgoza, MSW. LSW
• Benita Mendoza
• Mari Dolores Merlos Vaca, INTERN
• Metrosmiles - Cicero Dental PC
• Midwest Express Care 2, Inc
• Laura Kaufman Minardi, MD
• Gittel Mindick, PA-C

• Podiatrist in Cicero, IL
• Providers in Cicero, IL by specialty
• Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2023; 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.

Verify at the official NPI Registry.