MARK J. MENDOLLA MD NPI 1679559199

NPI Information

  • NPI: 1679559199
  • Provider Name: MARK J. MENDOLLA, MD
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1223 GATEWAY DR
    MELBOURNE, FL
    ZIP 32901
  • Phone: (321) 312-3496

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NPI Details

Mark J. Mendolla, MD is a cardiovascular disease internal medicine in Melbourne, FL with 37 years of experience. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Mark J. Mendolla, MD NPI is 1679559199. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: RUTGERS NEW JERSEY MEDICAL SCHOOL
Graduation Year:1989

The provider's business location address is:

1223 GATEWAY DR
MELBOURNE, FL
ZIP 32901-607
Phone: (321) 312-3496
Fax: (321) 409-2517

The NPI 1679559199 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, adenosine, 1 mg (not to be used to report any adenosine phosphate compounds) (HCPCS:J0153)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only (HCPCS:93010)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Follow-up hospital inpatient care per day, typically 35 minutes (HCPCS:99233)
  • Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report (HCPCS:93000)
  • Evaluation of cardiac rhythm monitor system, remote up to 30 days (HCPCS:93298)
  • Interrogation device evaluation(s), (remote) up to 30 days; implantable cardiovascular physiologic monitor system, implantable loop recorder system, or subcutaneous cardiac rhythm monitor system, remote data acquisition(s), receipt of transmissions and tec (HCPCS:G2066)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system or implantable defibrillator system, remote up to 90 days (HCPCS:93296)
  • Evaluation of single, dual, multiple lead or leadless pacemaker system, remote up to 90 days (HCPCS:93294)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Programming of dual lead pacemaker system (HCPCS:93280)
  • Technetium tc-99m tetrofosmin, diagnostic, per study dose (HCPCS:A9502)
  • Ultrasound of heart with color-depicted blood flow, rate, direction and valve function (HCPCS:93306)
  • Evaluation of single, dual, or multiple lead implantable defibrillator system, remote up to 90 days (HCPCS:93295)
  • Evaluation of implantable heart and blood vessel monitoring system, remote up to 30 days (HCPCS:93297)
  • Initial hospital inpatient care per day, typically 70 minutes (HCPCS:99223)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Initial hospital inpatient care per day, typically 50 minutes (HCPCS:99222)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision and review by physician (HCPCS:93015)
  • Programming of multiple lead implantable defibrillator system (HCPCS:93284)
  • Evaluation of implantable heart and blood vessel monitoring system (HCPCS:93290)
  • New patient office or other outpatient visit, 60-74 minutes (HCPCS:99205)
  • Ultrasound of heart with probe in esophagus, with report (HCPCS:93312)
  • Electrocardiogram (ecg) up to 30 days continuous with review and report by health care professional (HCPCS:93228)
  • Ultrasound of heart, follow-up (HCPCS:93308)
  • Programming of dual lead implantable defibrillator system (HCPCS:93283)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)
  • Established patient office or other outpatient visit, 40-54 minutes (HCPCS:99215)
  • Ultrasound of heart with color-depicted blood flow, rate and valve function (HCPCS:93325)
  • Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician (HCPCS:93018)
  • Nuclear medicine studies of heart muscle at rest and with stress and spect (HCPCS:78452)
  • Programming of single lead implantable defibrillator system (HCPCS:93282)
  • External shock to heart to regulate heart beat (HCPCS:92960)
  • Electrocardiogram (ecg) 2-day continuous with review by health care professional (HCPCS:93227)
  • Programming of multiple lead pacemaker system (HCPCS:93281)
  • Ultrasound of heart (HCPCS:93307)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • Programming of single lead pacemaker system (HCPCS:93279)
  • Evaluation of single, dual, or multiple lead implantable defibrillator system (HCPCS:93289)
  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Insertion of tube in left lower heart chamber and coronary artery for diagnosis with review by radiologist (HCPCS:93458)

The enumeration date for this NPI number is 12/16/2005 and was last updated on 1/2/2025.

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
1207RC0000XInternal MedicineCardiovascular DiseaseME67965FLORIDAYes

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
1P00768027OTHERFLORIDARR MEDICARE
2378231000MEDICAIDFLORIDA
326824OTHERFLORIDABCBS OF FL
44671480OTHERFLORIDAAETNA
57905980OTHERFLORIDACIGNA

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: 11/21/2025

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