Active NPI
David B Mendelson, DO
- Specialist
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 3728
- Practice address
- 1492 S Mill Ave Ste 301
Tempe, AZ 85281-5676 - Phone
- (480) 894-5550
- Fax
- (480) 894-9469
- NPI assigned
- Jul 19, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 3728 | AZ | |
| Otolaryngology/Facial Plastic Surgery Physician | 207YX0905X | 3728 | AZ | |
| Specialist | 174400000X | 3728 | AZ | Primary |
Addresses
Primary practice location
1492 S Mill Ave Ste 301
Tempe, AZ 85281-5676
Mailing address
1010 E McDowell Rd Ste LL1
Phoenix, AZ 85006-2606
Phone (602) 956-1250
Other practice location 1
1010 E McDowell Rd Ste 200
Phoenix, AZ 85006-2608
Phone (602) 956-1250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 698251 | Medicaid | AZ |
Other names 1
- Dr. David B. Mendelson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4425 | OH | MD | Chiropractor |
| 3728 | AZ | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Biltmore Ear Nose and Throat, PC | Otolaryngology | Current | Accepting new patients |
| Biltmore Ear Nose and Throat, PC | Past | Accepting new patients |
Locations
13555 W McDowell Rd
Ste 202
Goodyear, AZ 85395
Phone (623) 512-4100
10238 E Hampton Ave
Ste 411
Mesa, AZ 85209
Phone (480) 882-4750
4400 N 32nd St
Ste 220
Phoenix, AZ 85018
Phone (480) 848-7030
1010 E McDowell Rd
Ste LL1
Phoenix, AZ 85006
Phone (602) 317-1006
1010 E McDowell Rd
Ste 200
Phoenix, AZ 85006
Phone (602) 601-7752
1010 E McDowell Rd
Ste 206
Phoenix, AZ 85006
Phone (330) 518-5329
37200 N Gantzel Rd
Ste 240
San Tan Valley, AZ 85140
Phone (480) 626-0000
1492 S Mill Ave
Ste 301
Tempe, AZ 85281
Phone (480) 894-5550
Interoperability endpoints
- david.mendelson@959.chartlogic.direct-ci.com
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 and National Provider Directory roles.
-
- Otolaryngology Physician
- Phoenix, AZ
- NPI 1942489042
-
- Audiologist
- Phoenix, AZ
- NPI 1881015741
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121731200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597017600000",
"number": "1386643567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 E MCDOWELL RD STE LL1",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850062606",
"telephone_number": "602-956-1250",
"fax_number": "623-321-8620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1492 S MILL AVE STE 301",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852815676",
"telephone_number": "480-894-5550",
"fax_number": "480-894-9469"
}
],
"practiceLocations": [
{
"address_1": "1010 E McDowell Rd Ste 200",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "AZ",
"postal_code": "850062608",
"country_code": "US",
"telephone_number": "602-956-1250",
"fax_number": "623-321-8620",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MENDELSON",
"first_name": "DAVID",
"middle_name": "B",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-19",
"last_updated": "2020-08-10",
"certification_date": "2020-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "AZ",
"license": "3728",
"primary": false
},
{
"code": "207YX0905X",
"taxonomy_group": "",
"desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
"state": "AZ",
"license": "3728",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "3728",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "698251",
"state": "AZ"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DAVID",
"last_name": "MENDELSON",
"middle_name": "B.",
"prefix": "DR.",
"credential": "DO",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.