Daniel Mendoza, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

0442 Issued in TN

Practice address

353 New Shackle Island Rd Ste 101a
Hendersonville, TN 37075-2329

Phone

(615) 822-9651

NPI assigned

Dec 27, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

California School of Podiatric Medicine, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Diagnostic Imaging PCGroup PAC ID 7315848140, 523 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Tristar Skyline Medical Center Hospital, Nashville, TN, CCN 440006

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: daniel.mendoza@ahp.eclinicaldirectplus.com

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.

• Advanced Diagnostic Imaging, PC

  • Internal Medicine Physician
  • Goodlettsville, TN
  • NPI 1093741464

  Podiatrist

  Medicare reassignment Care Compare group NPD
• Mendoza Foot & Ankle Center PC

  • Podiatrist
  • Nashville, TN
  • NPI 1265941447
  NPD (past) Authorized official
• Mendoza Foot & Ankle Center PC

  • Podiatrist
  • Hendersonville, TN
  • NPI 1891204087
  NPD (past) Authorized official
• Advanced Diagnostic Imaging PC

  • Durable Medical Equipment & Medical Supplies
  • Lewisburg, TN
  • NPI 1922846559
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hti Memorial Hospital Corporation

  • General Acute Care Hospital
  • Nashville, TN
  • NPI 1295780476
  Care Compare affiliation

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

{
    "created_epoch": "1135641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1902883465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3024 BUSINESS PARK CIR",
            "city": "GOODLETTSVILLE",
            "state": "TN",
            "postal_code": "370723132",
            "telephone_number": "615-239-2018",
            "fax_number": "615-452-8919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "353 NEW SHACKLE ISLAND RD STE 101A",
            "city": "HENDERSONVILLE",
            "state": "TN",
            "postal_code": "370752329",
            "telephone_number": "615-822-9651"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "336 Sumner Hall Dr",
            "address_purpose": "LOCATION",
            "city": "Gallatin",
            "state": "TN",
            "postal_code": "370663129",
            "country_code": "US",
            "telephone_number": "615-452-8899",
            "fax_number": "615-452-8919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-27",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TN",
            "license": "0442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3352215",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marisa Medley
• Chris Mehr, MD
• Warren Melamed
• Noah Melikian, MFT IN TRAINING
• Mendoza Foot & Ankle Center PC
• Gabriel Seth Mendoza, DC
• Gina Mendoza, DPM
• Melissa Anne Menetrey
• Meraki Care Services LLC
• Karima Merali, D.C

• Foot & Ankle Surgery Podiatrist in Hendersonville, TN
• Providers in Hendersonville, TN by specialty
• Foot & Ankle Surgery Podiatrist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.