NPI Details
DR. Edita Extra-mendoza, MD is an internal medicine in Green Valley, AZ. The provider is a physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. DR. Edita Extra-mendoza, MD NPI is 1326023839. The provider is registered as an individual entity type.
The NPPES NPI record indicates the provider is a female.
The provider's business location address is:
1055 N. LA CANADA BLVD
SUITE 121
GREEN VALLEY, AZ
ZIP 85614
Phone: (520) 547-7770
Fax: (520) 547-7775
The NPI 1326023839 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.
The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.
- Injection, denosumab, 1 mg (HCPCS:J0897)
- Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
- Insertion of needle into vein for collection of blood sample (HCPCS:36415)
- Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
- Blood test, lipids (cholesterol and triglycerides) (HCPCS:80061)
- Blood test, comprehensive group of blood chemicals (HCPCS:80053)
- Colorectal cancer screening; fecal occult blood test, immunoassay, 1-3 simultaneous (HCPCS:G0328)
- Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit (HCPCS:G0439)
- Blood test, thyroid stimulating hormone (tsh) (HCPCS:84443)
- Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
- Hemoglobin a1c level (HCPCS:83036)
- Bacterial colony count, urine (HCPCS:87086)
- Thyroxine (thyroid chemical), free (HCPCS:84439)
- Thyroid hormone, t3 measurement, free (HCPCS:84481)
- Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
- Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
- Cervical or vaginal cancer screening; pelvic and clinical breast examination (HCPCS:G0101)
- Phosphate level (HCPCS:84100)
- Vitamin d-3 level (HCPCS:82306)
- Blood test, basic group of blood chemicals (calcium, total) (HCPCS:80048)
- Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional (HCPCS:99211)
- Hepatitis c antibody screening, for individual at high risk and other covered indication(s) (HCPCS:G0472)
- Administration of influenza virus vaccine (HCPCS:G0008)
- Influenza vaccine, quadrivalent inactivated, 0.5 ml dosage (HCPCS:90694)
- Evaluation of antimicrobial drug (antibiotic, antifungal, antiviral), microdilution or agar dilution (HCPCS:87186)
- Creatine kinase (cardiac enzyme) level, total (HCPCS:82550)
- Cyanocobalamin (vitamin b-12) level (HCPCS:82607)
- New patient office or other outpatient visit, 30-44 minutes (HCPCS:99203)
- Folic acid level, serum (HCPCS:82746)
- Injection of drug or substance under skin or into muscle (HCPCS:96372)
- Urine microalbumin (protein) level (HCPCS:82043)
- Creatinine level to test for kidney function or muscle injury (HCPCS:82570)
- Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
- Iron level (HCPCS:83540)
- Transferrin (iron binding protein) level (HCPCS:84466)
- Ferritin (blood protein) level (HCPCS:82728)
- Bacterial urine culture (HCPCS:87088)
- Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit (HCPCS:G0438)
- Screening 3d breast mammography (HCPCS:77063)
- Screening mammography (HCPCS:77067)
- Transitional care management services for problem of moderate complexity (HCPCS:99495)
- Bacterial culture for aerobic isolates (HCPCS:87077)
- Blood test, clotting time (HCPCS:85610)
- Urinalysis, manual test (HCPCS:81002)
- Analysis of substance using immunoassay technique, multiple step method (HCPCS:83516)
- Parathormone (parathyroid hormone) level (HCPCS:83970)
- Psa (prostate specific antigen) measurement, total (HCPCS:84153)
- Administration of pneumococcal vaccine (HCPCS:G0009)
- Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen (HCPCS:87635)
- Dxa bone density measurement of hip, pelvis, spine (HCPCS:77080)
- Liver enzyme (sgpt), level (HCPCS:84460)
- Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
- Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and (HCPCS:G0180)
- Liver function blood test panel (HCPCS:80076)
- Microscopic examination for white blood cells with manual cell count (HCPCS:85007)
- Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use (HCPCS:90677)
- Magnesium level (HCPCS:83735)
- Aspiration and/or injection of fluid from large joint (HCPCS:20610)
- Red blood cell sedimentation rate, to detect inflammation, automated (HCPCS:85652)
- Measurement c-reactive protein for detection of infection or inflammation (HCPCS:86140)
- Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a (HCPCS:G0179)
- Removal of impacted ear wax by washing (HCPCS:69209)
- Prostate cancer screening; digital rectal examination (HCPCS:G0102)
- Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
- Detection test by multiplex amplified probe technique for severe acute respiratory syndrome coronavirus 2 (sars-cov-2) (covid-19), influenza virus types a and b, and respiratory syncytial virus (HCPCS:87637)
- Initial preventive physical examination; face-to-face visit, services limited to new beneficiary during the first 12 months of medicare enrollment (HCPCS:G0402)
- Pneumococcal vaccine, 23-valent (HCPCS:90732)
- Immunologic analysis for detection of antigen or antibody (HCPCS:86331)
- Gammaglobulin (immune system protein) measurement (HCPCS:82784)
- Mri scan of lower spinal canal without contrast (HCPCS:72148)
- Destruction of precancer skin growth, 1 growth (HCPCS:17000)
The enumeration date for this NPI number is 12/8/2005 and was last updated on 4/20/2017.
Taxonomy Codes
The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:
| No. |
Taxonomy Code |
Taxonomy Clasification |
Taxonomy Specialization |
License Number |
License State |
Primary |
| 1 | 207R00000X | Internal Medicine | | 24412 | ARIZONA | Yes |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | G34374 | MEDICARE UPIN | | |
| 2 | 449787 | MEDICAID | ARIZONA | |
| 3 | Z145043 | MEDICARE PIN | ARIZONA | |
| 4 | Z145043 | OTHER | ARIZONA | MEDICARE PTAN |