NPIMap

Individual provider Active NPI

Maria P. Mendoza, MD

  • Family Medicine Physician
  • Lexington, KY
National Provider Identifier
1710094255
Registry record updated Jun 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34008 Issued in KY
Practice address
3581 Harrodsburg Rd Ste 250
Lexington, KY 40513-1140
Phone
(859) 313-6300
Fax
(594) 698-1858
NPI assigned
Aug 23, 2006
Last updated
Jun 30, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34008 KY Primary

Addresses

Primary practice location

3581 Harrodsburg Rd Ste 250
Lexington, KY 40513-1140

Mailing address

PO Box 936
London, KY 40743-0936
Phone (606) 330-7835

Other identifiers 1

IdentifierTypeStateIssuer
64014509MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040805000748 KY Practitioner - Family PracticePractitioner - Emergency Medicine 6002887676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3581 Harrodsburg Rd
Suite 250
Lexington, KY 40513-1140
Phone (859) 313-6300

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kentuckyone Health Medical Group, Inc. Family Medicine CurrentSince Mar 4, 2017 Accepting new patients
Kentuckyone Health Medical Group, Inc. Family Medicine CurrentSince Mar 4, 2017 Accepting new patients
Neurosurgical Associates PSC Current Accepting new patients
Dr Peter Ko PLLC Family Medicine Past Accepting new patients
Ephraim McDowell Health Resource, Inc Family Medicine Past Accepting new patients
Marshall Emergency Services Associates, PLLC Past Accepting new patients

Locations

305 Estill St
Berea, KY 40403
Phone (859) 986-1415

60 Mercy Ct
Irvine, KY 40336
Phone (606) 723-2115

1401 Harrodsburg Rd
Ste A300
Lexington, KY 40504
Phone (859) 313-4744

50 Sterling Ave
Mt Sterling, KY 40353
Phone (606) 498-1220

Interoperability endpoints

  • Direct secure messaging: mmendoza274861@direct.stlukeshealth.org
  • Direct secure messaging: pilarminamendoza@kysjhspe.allscriptsdirect.net

Organizations & group practices 6

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 5

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": "1156291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561852800000",
    "number": "1710094255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936",
            "city": "LONDON",
            "state": "KY",
            "postal_code": "407430936",
            "telephone_number": "606-330-7835",
            "fax_number": "606-330-7825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 HARRODSBURG RD STE 250",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405131140",
            "telephone_number": "859-313-6300",
            "fax_number": "594-698-1858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MARIA",
        "middle_name": "P.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-23",
        "last_updated": "2019-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "34008",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64014509",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

Verify at the official NPI Registry.