Individual provider Active NPI

Natalia Mendoza, M.D.

  • Dermatology Physician
  • Williamsburg, VA
National Provider Identifier
1780932129
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
0101259221 Issued in VA
Practice address
207 Bulifants Blvd Ste C
Williamsburg, VA 23188-5732
Phone
(757) 622-6315
Fax
(757) 622-7022
NPI assigned
Aug 15, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 0101259221 VA Primary

Addresses

Primary practice location

207 Bulifants Blvd Ste C
Williamsburg, VA 23188-5732

Mailing address

6160 Kempsville Cir Ste 200a
Norfolk, VA 23502-3945
Phone (757) 622-6315

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20160311002185 VA Practitioner - Dermatology 4789980053 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pariser Dermatology Specialists LTDGroup PAC ID 7113902925, 33 clinicians

Practice addresses (Care Compare)

11842 Rock Landing Dr
Suite 120
Newport News, VA 23606-4437
Phone (757) 595-8816

Hospital & facility affiliations

  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066
  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052

Merit-based Incentive Payment System (MIPS)

Final score
82.4 of 100Reported as group
Quality
78.82
Improvement activities
40
Cost
80.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision26
Removal of skin lesions2572
Removal or shaving of skin growth33
Skin biopsy1454

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pariser Dermatology Specialists LTD Dermatology CurrentSince Dec 29, 2015 Accepting new patients

Locations

11842 Rock Landing Dr
Ste 120
Newport News, VA 23606
Phone (757) 595-8816

6160 Kempsville Cir
Ste 200A
Norfolk, VA 23502

1248 Perimeter Pkwy
Ste 482
Virginia Beach, VA 23454
Phone (757) 496-5085

207 Bulifants Blvd
Ste C
Williamsburg, VA 23188
Phone (757) 564-8535

Interoperability endpoints

  • Direct secure messaging: nataliamendoza@pdsltd.allscriptsdirect.net

Organizations & group practices 1

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.

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": "1344988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1780932129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6160 KEMPSVILLE CIR STE 200A",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235023945",
            "telephone_number": "757-622-6315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 BULIFANTS BLVD STE C",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231885732",
            "telephone_number": "757-622-6315",
            "fax_number": "757-622-7022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "NATALIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-15",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101259221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Williamsburg, VA

Sources for this page

Verify at the official NPI Registry.