NPIMap

Organization Active NPI

Mendelson Orthopedics PC

Doing business as mendelson kornblum orthopedic and spine surgeons

  • Orthopaedic Surgery Physician
  • Sterling Heights, MI
National Provider Identifier
1720395205
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
DM050325 Issued in MI
Legal business name
MENDELSON ORTHOPEDICS PC
Doing business as
mendelson kornblum orthopedic and spine surgeons
Practice address
35735 Mound Rd Ste 100
Sterling Heights, MI 48310-4728
Phone
(586) 261-1960
Fax
(586) 261-1961
NPI assigned
Sep 7, 2010
Last updated
Jun 10, 2024By the provider in NPPES
Organization subpart
Yes
Parent organization
MENDELSON ORTHOPEDICS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Authorized official

Name
David Mendelson, MDNPI 1124018833
Title
Physician
Phone
(734) 542-0200

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X DM050325 MI Primary
Orthopaedic Surgery Physician 207X00000X JM054943 MI
Orthopaedic Surgery Physician 207X00000X SM072970 MI
Orthopaedic Surgery Physician 207X00000X FZ074815 MI
Orthopaedic Surgery of the Spine Physician 207XS0117X MK063387 MI
Orthopaedic Surgery of the Spine Physician 207XS0117X AM065335 MI
Pain Medicine Physician 208VP0000X 5101014513 MI

Addresses

Primary practice location

35735 Mound Rd Ste 100
Sterling Heights, MI 48310-4728

Mailing address

500 Stephenson Hwy Ste 300
Troy, MI 48083-1118
Phone (586) 439-6258

Other names 1

  • mendelson kornblum orthopedic and spine surgeons Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050127000783 MI Part B Supplier - Clinic/Group Practice 8426008368 Receives reassigned benefits from 89 practitioners
3 other NPIs on this enrollment
Practice locations: Warren, MI; Troy, MI; Sterling Heights, MI; Southfield, MI; Port Huron, MI; Livonia, MI

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Mendelson Orthopedics PC

    dba mendelson kornblum orthopedic and spine surgeons

    • Durable Medical Equipment & Medical Supplies
    • Sterling Heights, MI
    • NPI 1124336326

    8426008368

    Same PAC ID

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Mendelson Orthopedic Physical Therapy

Locations

36622 5 Mile Rd
#101
Livonia, MI 48154

36622 5 Mile Rd
#102
Livonia, MI 48154

Practitioners & affiliated clinicians

Practitioners 90

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 90

NPI Registry JSON

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

{
    "created_epoch": "1283817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1720395205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 STEPHENSON HWY STE 300",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480831118",
            "telephone_number": "586-439-6258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35735 MOUND RD STE 100",
            "city": "STERLING HEIGHTS",
            "state": "MI",
            "postal_code": "483104728",
            "telephone_number": "586-261-1960",
            "fax_number": "586-261-1961"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MENDELSON ORTHOPEDICS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MENDELSON ORTHOPEDICS PC",
        "enumeration_date": "2010-09-07",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "MENDELSON",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "734-542-0200",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "DM050325",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "JM054943",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "SM072970",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "MI",
            "license": "FZ074815",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MI",
            "license": "MK063387",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "MI",
            "license": "AM065335",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "MI",
            "license": "5101014513",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "mendelson kornblum orthopedic and spine surgeons",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling Heights, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.