Jose M Mendieta, MD

Primary specialty

Pulmonary Disease PhysicianTaxonomy code 207RP1001X

License

24590 Issued in KY

Practice address

250 E Liberty St
Suite902
Louisville, KY 40202-1530

Phone

(502) 587-9140

Fax

(502) 587-9142

NPI assigned

Jan 25, 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 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Sleep Care Specialist of Louisville

  • Sleep Medicine (Internal Medicine) Physician
  • Louisville, KY
  • NPI 1841661410

  Pulmonary Disease

  NPD (past)

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266796800000",
    "number": "1356311138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E LIBERTY ST",
            "address_2": "SUITE902",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021530",
            "telephone_number": "502-587-9140",
            "fax_number": "502-587-9142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E LIBERTY ST",
            "address_2": "SUITE902",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021530",
            "telephone_number": "502-587-9140",
            "fax_number": "502-587-9142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIETA",
        "first_name": "JOSE",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2010-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "KY",
            "license": "24590",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100351690A",
            "state": "IN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64245905",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Morgan Earle Menard, DMD
• Virginia L Menche, MD
• Mended Behavioral & Mental Health Services
• Carrie A. Mendelsberg, ARNP
• Dane Michael Mendelsohn, APRN
• Miguel Angel Mendoza Navarrete
• Elvis Lester Mendoza Valle, MSN, APRN, AGNP-C
• Christian Cruz Mendoza
• Matthew Menendez, MED, BCBA, LBA
• Deana M. Menikoff, PA-C

• Pulmonary Disease Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Pulmonary Disease Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.