Isabel Mendoza, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

39007 Issued in SC

Practice address

201 Cashua St
Darlington, SC 29532-3301

Phone

(843) 393-7452

Fax

(843) 393-6210

NPI assigned

Jan 30, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Isabel Mendoza-Olivero Professional name

Medicare fee-for-service enrollment

Enrolled in SC

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 1

Specialty

Family Practice

Education

University of Puerto Rico School of Medicine, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Genesis Healthcare, IncGroup PAC ID 4688869696, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health-Pee Dee Home health agency, Florence, SC, CCN 427854
• Amedisys Home Health of Conway Home health agency, Conway, SC, CCN 427112
• McLeod Regional Medical Center-Pee Dee Hospital, Florence, SC, CCN 420051
• Carolina Pines Regional Medical Center Hospital, Hartsville, SC, CCN 420010

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: isabel.mendoza.1@20108.direct.athenahealth.com

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.

• Genesis Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Darlington, SC
  • NPI 1437484862
  Medicare reassignment Care Compare group NPD
• Genesis Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Walterboro, SC
  • NPI 1881440758
  NPD
• Genesis Healthcare, Inc.

  • Federally Qualified Health Center (FQHC)
  • Florence, SC
  • NPI 1255305280
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Amedisys Home Health of South Carolina LLC

  • Home Health Agency
  • Conway, SC
  • NPI 1316905573
  Care Compare affiliation
• Capital Care Resources of South Carolina, LLC

  • Home Health Agency
  • Florence, SC
  • NPI 1528433521
  Care Compare affiliation
• Hartsville, LLC

  • General Acute Care Hospital
  • Hartsville, SC
  • NPI 1174500458
  Care Compare affiliation
• McLeod Regional Medical Center of the Pee Dee, Inc.

  • General Acute Care Hospital
  • Florence, SC
  • NPI 1699756221
  Care Compare affiliation

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713484800000",
    "number": "1336286475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8906 TWO NOTCH RD",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292236366",
            "telephone_number": "803-254-3676",
            "fax_number": "803-254-3678"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 CASHUA ST",
            "city": "DARLINGTON",
            "state": "SC",
            "postal_code": "295323301",
            "telephone_number": "843-393-7452",
            "fax_number": "843-393-6210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "ISABEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2024-04-19",
        "certification_date": "2024-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "39007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "390071",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ISABEL",
            "last_name": "MENDOZA-OLIVERO",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Med Center Pharmacy & Medical Supply LLC
• Med-Center Pharmacy & Medical Supply LLC
• Medford Nursing Center LLC
• Medic of South Carolina, LLC
• Medone Medical Transport, LLC
• Nomava Mfecane, OTR/L
• Milestones Developmental Services
• Shoffina Genevieve Milliner-Baker
• Montclare Medical Services, LLC
• Montclare Medical Services, LLC

• Family Medicine Physician in Darlington, SC
• Providers in Darlington, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2024; 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.