Provider Type Icon

JOSE M MENDIETA MD NPI 1356311138


NPI Information

NPI: 1356311138
Provider Name: JOSE M MENDIETA, MD
Classification: Internal Medicine - 207RP1001X
Entity Type: Individual

Specialization: Pulmonary Disease

PECOS Registration: Yes

Address:
250 E LIBERTY ST
SUITE902
LOUISVILLE, KY
ZIP 40202
Phone: (502) 587-9140
Get Directions

Jose M Mendieta, MD is a pulmonary disease internal medicine in Louisville, KY. The provider is an internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. Jose M Mendieta, MD NPI is 1356311138. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

250 E LIBERTY ST
SUITE902
LOUISVILLE, KY
ZIP 40202-530
Phone: (502) 587-9140
Fax: (502) 587-9142

The NPI 1356311138 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/25/2006 and was last updated on 2/22/2010.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RP1001XInternal MedicinePulmonary Disease24590KENTUCKYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11475601MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYSHELBYVILLE
264245905MEDICAIDKENTUCKY
31475602MEDICARE ID-TYPE UNSPECIFIEDKENTUCKYLOUISVILLE
4100351690AMEDICAIDINDIANA
5C65375MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.