Active NPI
Oscar A Mendiondo, M.D.
- Radiation Oncology Physician
- Lexington, KY
National Provider Identifier
1326049099
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 19807
- Practice address
- 1401 Harrodsburg Rd
Ste A100
Lexington, KY 40504-3751 - Phone
- (859) 258-6700
- Fax
- (859) 258-6509
- NPI assigned
- Aug 3, 2005
- Last updated
- Dec 27, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 19807 | KY | Primary |
Addresses
Primary practice location
1401 Harrodsburg Rd
Ste A100
Lexington, KY 40504-3751
Mailing address
1401 Harrodsburg Rd
Ste A100
Lexington, KY 40504-3751
Phone (859) 258-6700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64198070 | Medicaid | KY | |
| 920006559 | Other | KY | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saint Joseph Health System, Inc. | Past | Accepting new patients | |
| United Surgical Associates, P.S.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Hematology & Oncology Physician
- London, KY
- NPI 1740550615
-
dba Fayette Surgical Associates
- Surgery Physician
- Lexington, KY
- NPI 1831140565
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1356566400000",
"number": "1326049099",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 HARRODSBURG RD",
"address_2": "STE A100",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043751",
"telephone_number": "859-258-6700",
"fax_number": "859-258-6509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 HARRODSBURG RD",
"address_2": "STE A100",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043751",
"telephone_number": "859-258-6700",
"fax_number": "859-258-6509"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDIONDO",
"first_name": "OSCAR",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-03",
"last_updated": "2012-12-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "KY",
"license": "19807",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64198070",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "920006559",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.