Individual provider Active NPI

Bernardo Mendoza, MD

  • Vascular Surgery Physician
  • Tucson, AZ
National Provider Identifier
1609980499
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
33686 Issued in AZ
Practice address
1815 W Saint Marys Rd
Tucson, AZ 85745-2653
Phone
(520) 834-4289
Fax
(520) 628-4863
NPI assigned
Aug 18, 2006
Last updated
Mar 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 046924 CT
Vascular Surgery Physician 2086S0129X 33686 AZ Primary

Addresses

Primary practice location

1815 W Saint Marys Rd
Tucson, AZ 85745-2653

Mailing address

3709 N Campbell Ave
Ste 201
Tucson, AZ 85719-1563
Phone (520) 320-3819

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
I20050509000145 AZ Practitioner - Vascular SurgeryPractitioner - General Surgery 9133169295 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Temple University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pima Heart Physicians PCGroup PAC ID 6507751294, shared by 2 NPIs, 65 clinicians

Practice addresses (Care Compare)

4475 S I 19 Frontage Rd
Suite 125
Green Valley, AZ 85614-6336
Phone (520) 838-3540

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.17 of 100Reported as group
Quality
83.77
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal87
Leg revascularization (restoring blood flow)30
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
046924CTMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pima Heart Physicians, PC Vascular Surgery CurrentSince Apr 1, 2019 Accepting new patients
Pima Heart Physicians, PC CurrentSince Apr 1, 2019 Accepting new patients
Pima Heart Physicians, PC Vascular Surgery Past Accepting new patients
Southwest Heart Group LLC Past Accepting new patients
SMSJ Tucson Holdings LLC Past Accepting new patients
Arizona Diagnostic Pathology Associates PLLC PastSince Oct 27, 2024 Accepting new patients
Eastern Connecticut Medical Professionals Foundation, Inc Past Accepting new patients
Tucson Vascular Surgery Vascular Surgery Past Accepting new patients

Locations

4475 S I 19 Frontage Rd
Ste 125
Green Valley, AZ 85614

1209 W Target Range Rd
Nogales, AZ 85621
Phone (520) 285-3135

480 N Morley Ave
Nogales, AZ 85621
Phone (520) 287-2726

12115 N Oracle Rd
Ste 101
Oro Valley, AZ 85737
Phone (520) 287-5728

1521 E Tangerine Rd
Ste 325
Oro Valley, AZ 85755
Phone (520) 472-1533

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

15920 S Rancho Sahuarita Blvd
Ste 120
Sahuarita, AZ 85629
Phone (520) 575-1175

942 E Fry Blvd
Sierra Vista, AZ 85635
Phone (520) 224-9100

1238 W Orange Grove Rd
Ste 103
Tucson, AZ 85704

1714 W Anklam Rd
Tucson, AZ 85745

1714 W Anklam Rd
Ste 104
Tucson, AZ 85745
Phone (520) 229-9600

1802 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 205-7520

1815 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 628-1400

2404 E River Rd
Tucson, AZ 85718
Phone (520) 408-9868

2404 E River Rd
Bldg 1
Tucson, AZ 85718
Phone (520) 365-1441

2404 E River Rd
Ste 100
Tucson, AZ 85718
Phone (520) 585-5796

2404 E River Rd
Ste 251
Tucson, AZ 85718
Phone (520) 209-2575

2404 E River Rd
Ste 270
Tucson, AZ 85718
Phone (520) 696-4780

3709 N Campbell Ave
Ste 201
Tucson, AZ 85719

4729 E Camp Lowell Dr
Tucson, AZ 85712
Phone (520) 467-0467

4888 N Stone Ave
Tucson, AZ 85704
Phone (520) 696-2302

555 E River Rd
Ste 101
Tucson, AZ 85704

6130 N La Cholla Blvd
Ste 205
Tucson, AZ 85741
Phone (520) 575-0800

341 Cool Springs Blvd
Ste 305
Franklin, TN 37067
Phone (972) 391-1915

Interoperability endpoints

  • Direct secure messaging: bernardo.mendoza@ushv.eclinicaldirectplus.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1609980499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 N CAMPBELL AVE",
            "address_2": "STE 201",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857191563",
            "telephone_number": "520-320-3819",
            "fax_number": "520-629-9430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 W SAINT MARYS RD",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452653",
            "telephone_number": "520-834-4289",
            "fax_number": "520-628-4863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "BERNARDO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "CT",
            "license": "046924",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "AZ",
            "license": "33686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

Verify at the official NPI Registry.