Melody Mendiola, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

46382 Issued in MN

Practice address

9300 Noble Pkwy N
Brooklyn Park, MN 55443-5500

Phone

(763) 236-5300

Fax

(763) 236-5250

NPI assigned

Jun 12, 2006

Last updated

Oct 2, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412208000000",
    "number": "1598707655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9300 NOBLE PKWY N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554435500",
            "telephone_number": "763-236-5300",
            "fax_number": "763-236-5250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9300 NOBLE PKWY N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554435500",
            "telephone_number": "763-236-5300",
            "fax_number": "763-236-5250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDIOLA",
        "first_name": "MELODY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2014-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "46382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristen Medhanie, RN, CNP
• Medical Supplies & Uniforms - HCD
• Medical Supply and Uniforms
• Holly Ann Meier, MSN, RN, PPCNP-BC
• Melkezedek Care LLC
• Mercy Care Center LLC
• Mercy Health Care LLC
• Mercy Homes LLC
• Kristen Elizabeth Metcalf, PA-C
• Metro Behavioral Consultants PLLC

• Internal Medicine Physician in Brooklyn Park, MN
• Providers in Brooklyn Park, MN by specialty
• Internal Medicine Physician in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2014; 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.

Verify at the official NPI Registry.