KERRY MENDES – Psychiatry Physician, NPI 1124348370

KERRY MENDES is a healthcare provider. based in Sacramento, California. specializing in PSYCHIATRY. They hold a License No. T3519 (TX). The NPI Number for KERRY MENDES is 1124348370

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
KERRY MENDES
NPI
1124348370
Phone
(916) 734-2972
Address
2315 STOCKTON BLVD
Enumeration Date
9 June 2010
Last Update Date
30 April 2025

Doctor Profile

Medical School Name
UNIVERSITY OF ARIZONA COLLEGE OF MEDICINE
Secondary Phone
8328907225
Graduation Year
2015 (11 years ago)
PAC ID
0840506846
Group Practice PAC ID
6608977095
Professional Enrollment ID
I20210922002346
Address ID
TX770081289HO2150XSTXX401

Contacts

Secure Messaging
kmendes@avenue360.org
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:15State licenses:1Other namesUpdated within 12 months

4,130 PSYCHIATRY in CA

Provider Addresses for KERRY MENDES

  • 2315 STOCKTON BLVD

    SACRAMENTO, CA 958172201

    Phone: (916) 734-2972

    Type: Mailing

  • 2150 W 18TH ST STE 300

    HOUSTON, TX 770081289

    Phone: (713) 426-0027

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-09-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210922002346IPsychiatryTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 95817)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608977095View full group profile
NameSpecialtyState
Family PracticeTX
Nurse PractitionerTX
Obstetrics/Gynecology, Family PracticeTX
Nurse PractitionerWI
O B S T E T R I C S/ G Y N E C O L O G YTX
Family PracticeTX
Neurology, PsychiatryTX
Infectious Disease, Internal MedicineTX
Internal MedicineTX
Internal MedicineTX

Reviews

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Frequently asked questions

What is the standard ID for KERRY MENDES in the U.S.?
In the U.S., KERRY MENDES is identified by NPI 1124348370.
Is KERRY MENDES's NPI status active today?
Active status means KERRY MENDES's NPI record is not deactivated in the public file.
What type of care does KERRY MENDES provide?
KERRY MENDES's profile centers on Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to KERRY MENDES?
KERRY MENDES shows a connection to Sacramento, California in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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