SHAWN JAMES MENDONCA MD NPI 1619219052

NPI Information

  • NPI: 1619219052
  • Provider Name: SHAWN JAMES MENDONCA, MD
  • Classification: Urology - 208800000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 2296 OPITZ BLVD STE 350
    WOODBRIDGE, VA
    ZIP 22191
  • Phone: (703) 680-2111

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NPI Details

Shawn James Mendonca, MD is an urology in Woodbridge, VA with 12 years of experience. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. Shawn James Mendonca, MD NPI is 1619219052. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduation Year:2013

The provider's business location address is:

2296 OPITZ BLVD STE 350
WOODBRIDGE, VA
ZIP 22191-346
Phone: (703) 680-2111
Fax: (703) 878-3939

The NPI 1619219052 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, onabotulinumtoxina, 1 unit (HCPCS:J0585)
  • Bcg live intravesical instillation, 1 mg (HCPCS:J9030)
  • Automated urinalysis test (HCPCS:81003)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Ultrasound measurement of bladder capacity after voiding (HCPCS:51798)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Diagnostic exam of bladder and urethra using an endoscope (HCPCS:52000)
  • Simple change of bladder tube (HCPCS:51705)
  • Instillation of anti-cancer drug into bladder (HCPCS:51720)
  • Insertion of stent in ureter using an endoscope (HCPCS:52332)
  • Simple removal of foreign body, stone, or stent in urethra or bladder using an endoscope (HCPCS:52310)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Follow-up hospital inpatient care per day, typically 25 minutes (HCPCS:99232)
  • Electronic assessment of bladder emptying (HCPCS:51741)
  • Crushing of stone of ureter with insertion of stent using an endoscope (HCPCS:52356)
  • Exam with injections of chemical for destruction of bladder using an endoscope (HCPCS:52287)
  • Established patient office or other outpatient visit, 10-19 minutes (HCPCS:99212)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Simple insertion of temporary bladder tube (HCPCS:51702)
  • Prostate resection (HCPCS:NAN14)

The enumeration date for this NPI number is 3/24/2013 and was last updated on 4/25/2024.

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
1208800000XUrology297137NEW YORKNo
2208800000XUrologyMD471068PENNSYLVANIANo
3208800000XUrology0101280217VIRGINIAYes

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
1297137OTHERNEW YORKLICENSE

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: 3/30/2025

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