Active NPI
Maria Helena Siqueira Mendonca, MD, PHD
- Diagnostic Radiology Physician
- Worcester, MA
National Provider Identifier
1962380113
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 48700
- Practice address
- 55 Lake Ave N
Worcester, MA 01655-0002 - Phone
- (855) 862-7763
- NPI assigned
- Aug 25, 2025
- Sex
- Unspecified or another gender identity
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 48700 | ZZ | Primary |
Addresses
Primary practice location
55 Lake Ave N
Worcester, MA 01655-0002
Mailing address
Rua Americo Alves Pereira Filho 523
Apt 251
Sao Paulo, NOT APPLICABLE 05688000
BR
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, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48700 | ZZ | MD | Diagnostic Radiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1756080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756080000000",
"number": "1962380113",
"addresses": [
{
"country_code": "BR",
"country_name": "Brazil",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "RUA AMERICO ALVES PEREIRA FILHO 523",
"address_2": "APT 251",
"city": "SAO PAULO",
"state": "NOT APPLICABLE",
"postal_code": "05688000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LAKE AVE N",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016550002",
"telephone_number": "855-862-7763"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIQUEIRA MENDONCA",
"first_name": "MARIA HELENA",
"name_prefix": "Dr.",
"credential": "MD, PHD",
"sole_proprietor": "YES",
"sex": "X",
"enumeration_date": "2025-08-25",
"last_updated": "2025-08-25",
"certification_date": "2025-08-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "ZZ",
"license": "48700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.