Individual provider Active NPI

David B Mendelson, DO

  • Specialist
  • Tempe, AZ
National Provider Identifier
1386643567
Registry record updated Aug 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
3728 Issued in AZ
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

Updated by the provider on Aug 10, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
698251MedicaidAZ

Other names 1

  • Dr. David B. Mendelson Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101027000834 AZ Practitioner - Otolaryngology 5496766677 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4425OHMDChiropractor
3728AZMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Biltmore Ear Nose and Throat, PC Otolaryngology CurrentSince Sep 1, 2020 Accepting new patients
Biltmore Ear Nose and Throat, PC PastSince Sep 1, 2020 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.