Individual provider Active NPI

Jose L Mendoza, M.D.

  • Hematology & Oncology Physician
  • Clinton, MD
National Provider Identifier
1982648036
Registry record updated May 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
D0064153 Issued in MD
Practice address
8926 Woodyard Rd
Suite 201
Clinton, MD 20735-4220
Phone
(301) 868-7911
Fax
(301) 868-2285
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X D0064153 MD Primary

Addresses

Primary practice location

8926 Woodyard Rd
Suite 201
Clinton, MD 20735-4220

Mailing address

8926 Woodyard Rd
Suite 201
Clinton, MD 20735-4220
Phone (301) 868-7911

Other identifiers 10

IdentifierTypeStateIssuer
1293056OtherAETNA HMO
3154546OtherMAMSI
88874602OtherMDBC/BS MD - GREENBELT
02810007OtherDCBC/BS OF DC
88874601OtherMDBC/BS MD - CLINTON
5258642OtherCIGNA
3154546OtherALLIANCE
021213000MedicaidMD
B6480006OtherDCBC/BS OF DC
037955300MedicaidDC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, MD2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20070315000191 DC Practitioner - Hematology/Oncology 8224131081 Reassigns benefits to 1 organization
I20151118000206 MD Practitioner - Medical OncologyPractitioner - Hematology 8224131081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Medical OncologyAlso: Hematology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Maryland Oncology Hematology PAGroup PAC ID 2062302102, 96 clinicians

Practice addresses (Care Compare)

10710 Charter Dr
Suite G020
Columbia, MD 21044-3257
Phone (410) 964-2218

8926 Woodyard Rd
Clinton, MD 20735-4218
Phone (301) 868-7911

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.61 of 100Reported as individual
Quality
78.82
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0064153MDMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Oncology Hematology P.a. CurrentSince Dec 1, 2012 Accepting new patients
Maryland Oncology Hematology, P.a. Hematology & Oncology CurrentSince Dec 1, 2012 Accepting new patients
Maryland Oncology Hematology P.a. Hematology & Oncology CurrentSince Oct 27, 2015 Accepting new patients

Locations

11720 Beltsville Dr
Ste 300
Beltsville, MD 20705

7704 Matapeake Business Dr
Ste 200
Brandywine, MD 20613
Phone (301) 358-6070

8926 Woodyard Rd
Ste 201
Clinton, MD 20735
Phone (301) 868-0272

8926 Woodyard Rd
Clinton, MD 20735
Phone (301) 719-1140

8926 Woodyard Rd
Ste 602
Clinton, MD 20735
Phone (301) 868-9244

8926 Woodyard Rd
Ste 101
Clinton, MD 20735
Phone (301) 818-5001

10710 Charter Dr
Ste G020
Columbia, MD 21044
Phone (410) 964-2212

12200 Annapolis Rd
Ste 118
Glenn Dale, MD 20769
Phone (410) 897-6200

8116 Good Luck Rd
Ste 100
Lanham, MD 20706
Phone (301) 474-0427

9333 Healthcare Way
Ste 4100
Largo, MD 20774
Phone (301) 812-3900

7350 Van Dusen Rd
Ste 370
Laurel, MD 20707
Phone (301) 982-9800

Interoperability endpoints

  • Direct secure messaging: jose.mendoza@mdonc.ikm.direct-ci.com
  • Direct secure messaging: jmendoza473246@direct.umm.edu
  • Direct secure messaging: jose.mendoza@directaddress.net

Organizations & group practices 3

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.

Hospital & facility affiliations 6

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210723200000",
    "number": "1982648036",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8926 WOODYARD RD",
            "address_2": "SUITE 201",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354220",
            "telephone_number": "301-868-7911",
            "fax_number": "301-868-2285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8926 WOODYARD RD",
            "address_2": "SUITE 201",
            "city": "CLINTON",
            "state": "MD",
            "postal_code": "207354220",
            "telephone_number": "301-868-7911",
            "fax_number": "301-868-2285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "JOSE",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2008-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MD",
            "license": "D0064153",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO",
            "identifier": "1293056",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMSI",
            "identifier": "3154546",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS MD - GREENBELT",
            "identifier": "88874602",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF DC",
            "identifier": "02810007",
            "state": "DC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS MD - CLINTON",
            "identifier": "88874601",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "5258642",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALLIANCE",
            "identifier": "3154546",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "021213000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF DC",
            "identifier": "B6480006",
            "state": "DC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "037955300",
            "state": "DC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, MD

Sources for this page

Verify at the official NPI Registry.