Individual provider Active NPI

Cole Fredrick Paul Mendenhall, MD

  • Vascular & Interventional Radiology Physician
  • Phoenix, AZ
National Provider Identifier
1891958351
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
53024 Issued in AZ
Practice address
500 W Thomas Rd Ste 100
Phoenix, AZ 85013-4255
Phone
(602) 406-1115
NPI assigned
Jul 4, 2008
Last updated
Jun 8, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 53024 AZ Primary

Addresses

Primary practice location

500 W Thomas Rd Ste 100
Phoenix, AZ 85013-4255

Mailing address

PO Box 33269
Phoenix, AZ 85067-3269
Phone (602) 406-4786

Other practice location 1

350 W Thomas Rd
Radiology Department
Phoenix, AZ 85013-4409
Phone (602) 406-3430

Other practice location 2

7330 N 99th Ave Ste 200
Glendale, AZ 85307-3018
Phone (602) 406-0033

Other practice location 3

625 N 6th St
Phoenix, AZ 85004-3063
Phone (602) 406-8222

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
I20161026001142 AZ Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 1153549902 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Indiana University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sjhmc Physician ServicesGroup PAC ID 4486646197, 645 clinicians
Freedom Health Interventional Centers LLCGroup PAC ID 8325309347, 9 clinicians

Practice addresses (Care Compare)

500 W Thomas Rd
Suite 100
Phoenix, AZ 85013-4255
Phone (602) 406-5483

6036 N 19TH Ave
Suite 204
Phoenix, AZ 85015-2104
Phone (480) 717-0356

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
53024AZMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Joseph's Hospital and Medical Center CurrentSince Aug 30, 2020 Accepting new patients
St Josephs Pathology Current Accepting new patients
Sjhmc Physician Services CurrentSince Nov 1, 2025 Accepting new patients
Freedom Health Interventional Centers LLC CurrentSince Aug 25, 2025 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Aug 1, 2019 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Oct 1, 2016 Accepting new patients
Banner Cancer Center Specialists LLC CurrentSince Aug 1, 2019 Accepting new patients
Banner - University Hospital Based Physicians LLC CurrentSince Oct 1, 2016 Accepting new patients

Locations

2946 E Banner Gateway Dr
Gilbert, AZ 85234
Phone (480) 256-5450

17040 N 51st Ave
Ste 100
Glendale, AZ 85308
Phone (602) 406-1164

7330 N 99th Ave
Ste 200
Glendale, AZ 85307
Phone (602) 406-0033

4975 N Dysart Rd
Unit 100
Litchfield Pk, AZ 85340
Phone (602) 406-8700

1111 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-2000

500 W Thomas Rd
Ste 100
Phoenix, AZ 85013
Phone (602) 406-1115

500 W Thomas Rd
Ste 680
Phoenix, AZ 85013
Phone (602) 406-6017

6036 N 19th Ave
Ste 204
Phoenix, AZ 85015
Phone (480) 717-0356

625 N 6th St
Phoenix, AZ 85004
Phone (602) 406-8222

925 E McDowell Rd
Phoenix, AZ 85006
Phone (602) 239-4498

File 56765
Los Angeles, CA 90074

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 4

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": "1215129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1891958351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 33269",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850673269",
            "telephone_number": "602-406-4786",
            "fax_number": "916-636-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W THOMAS RD STE 100",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850134255",
            "telephone_number": "602-406-1115"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 W Thomas Rd",
            "address_2": "Radiology Department",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850134409",
            "country_code": "US",
            "telephone_number": "602-406-3430",
            "fax_number": "602-406-2340",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7330 N 99th Ave Ste 200",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "AZ",
            "postal_code": "853073018",
            "country_code": "US",
            "telephone_number": "602-406-0033",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "625 N 6th St",
            "address_purpose": "LOCATION",
            "city": "Phoenix",
            "state": "AZ",
            "postal_code": "850043063",
            "country_code": "US",
            "telephone_number": "602-406-8222",
            "fax_number": "602-406-7811",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDENHALL",
        "first_name": "COLE",
        "middle_name": "FREDRICK PAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-04",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "AZ",
            "license": "53024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.