Individual provider Active NPI

Michael Dale Mendoza, MD, MPH

  • Family Medicine Physician
  • Rochester, NY
National Provider Identifier
1962586149
Registry record updated Jul 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
253937 Issued in NY
Practice address
2275 S Clinton Ave
Rochester, NY 14618-2623
Phone
(585) 440-6045
NPI assigned
Oct 25, 2006
Last updated
Jul 27, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 253937 NY Primary
Family Medicine Physician 207Q00000X 036-113672 IL

Addresses

Primary practice location

2275 S Clinton Ave
Rochester, NY 14618-2623

Mailing address

2275 S Clinton Ave
Rochester, NY 14618-2623
Phone (585) 440-6045

Other identifiers 3

IdentifierTypeStateIssuer
036113672OtherILSTATE OF ILLINOIS, DIVISION OF PROFESSIONAL REGULATION
253937OtherNYNEW YORK STATE EDUCATION DEPT DIVISION OF PROFESSIONAL LICENSING SERVICES
A81066OtherCAMEDICAL BOARD OF CALIFORNIA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mmendoza4662@direct.urmc.rochester.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20090825000727 NY Practitioner - Family Practice 0042250110 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Chicago, Pritzker School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Highland Hospital of RochesterGroup PAC ID 5496641631, shared by 4 NPIs, 403 clinicians

Practice addresses (Care Compare)

1000 S Ave
Rochester, NY 14620-2733

470 Collins St
Avon, NY 14414-1466
Phone (585) 226-2640

777 Clinton Ave S
Rochester, NY 14620-1448
Phone (585) 279-4680

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.84 of 100Reported as group
Quality
68.36
Promoting interoperability
100
Improvement activities
40
Cost
81.1

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-113672ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Strong Medical Group Family Medicine CurrentSince May 1, 2024 Accepting new patients
University of Rochester CurrentSince May 1, 2024 Accepting new patients
University of Rochester CurrentSince May 1, 2024 Accepting new patients
Highland Hospital of Rochester Family Medicine CurrentSince Aug 1, 2009 Accepting new patients
Highland Hospital of Rochester CurrentSince Jul 1, 2025 Accepting new patients
Highland Hospital of Rochester CurrentSince Aug 1, 2009 Accepting new patients
Highland Hospital of Rochester Current Accepting new patients

Locations

470 Collins St
Avon, NY 14414
Phone (585) 226-2640

3669 Countryside Ln
Marion, NY 14505
Phone (315) 926-7733

1000 South Ave
Rochester, NY 14620
Phone (585) 341-0366

2400 S Clinton Ave
#H
Rochester, NY 14618
Phone (585) 341-7299

601 Elmwood Ave
Rochester, NY 14642
Phone (585) 275-9555

601 Elmwood Ave
#320
Rochester, NY 14642

777 Clinton Ave S
Rochester, NY 14620
Phone (585) 279-4790

Interoperability endpoints

  • Direct secure messaging: mmendoza4662@direct.urmc.rochester.edu

Organizations & group practices 7

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 3

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1962586149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2275 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182623",
            "telephone_number": "585-440-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2275 S CLINTON AVE",
            "city": "ROCHESTER",
            "state": "NY",
            "postal_code": "146182623",
            "telephone_number": "585-440-6045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "MICHAEL",
        "middle_name": "DALE",
        "name_prefix": "Dr.",
        "credential": "MD, MPH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-25",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "253937",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-113672",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF ILLINOIS, DIVISION OF PROFESSIONAL REGULATION",
            "identifier": "036113672",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE EDUCATION DEPT DIVISION OF PROFESSIONAL LICENSING SERVICES",
            "identifier": "253937",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL BOARD OF CALIFORNIA",
            "identifier": "A81066",
            "state": "CA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mmendoza4662@direct.urmc.rochester.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "OTHER",
            "address_1": "601 Elmwood Ave",
            "city": "Rochester",
            "state": "NY",
            "country_code": "US",
            "postal_code": "146420001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rochester, NY

Sources for this page

Verify at the official NPI Registry.