Individual provider Active NPI

Oscar Cortez Mendez, M.D.

  • General Practice Physician
  • Baltimore, MD
National Provider Identifier
1841639846
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
D0037901 Issued in MD
Practice address
4600 Wilkens Ave
Suite 106
Baltimore, MD 21229-4843
Phone
(410) 247-9980
Fax
(410) 247-9982
NPI assigned
Jun 24, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X D0037901 MD Primary

Addresses

Primary practice location

4600 Wilkens Ave
Suite 106
Baltimore, MD 21229-4843

Mailing address

4600 Wilkens Ave
Suite 106
Baltimore, MD 21229-4843
Phone (410) 247-9980

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0037901MDMDGeneral Practice Physician

NPI Registry JSON

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

{
    "created_epoch": "1372032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372032000000",
    "number": "1841639846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4600 WILKENS AVE",
            "address_2": "SUITE 106",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294843",
            "telephone_number": "410-247-9980",
            "fax_number": "410-247-9982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4600 WILKENS AVE",
            "address_2": "SUITE 106",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212294843",
            "telephone_number": "410-247-9980",
            "fax_number": "410-247-9982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "OSCAR",
        "middle_name": "CORTEZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-24",
        "last_updated": "2013-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MD",
            "license": "D0037901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.