DR. GUSTAVO ADOLFO MENDEZ (M.D.) – Neuroradiology Physician, NPI 1689014540

DR. GUSTAVO ADOLFO MENDEZ (M.D.) is a healthcare provider. based in Burr ridge, Illinois. specializing in DIAGNOSTIC RADIOLOGY, INTERVENTIONAL RADIOLOGY, NUCLEAR MEDICINE. They hold the professional credentials M.D.. They hold a License No. A172727 (CA). The NPI Number for DR. GUSTAVO ADOLFO MENDEZ (M.D.) is 1689014540

Main info

Male
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. GUSTAVO ADOLFO MENDEZ (M.D.)
NPI
1689014540
Phone
(773) 702-1150
Address
180 HARVESTER DR
Enumeration Date
25 June 2013
Last Update Date
16 August 2023

Doctor Profile

Medical School Name
OREGON HEALTH SCIENCES UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
7205162100
Graduation Year
2015 (11 years ago)
PAC ID
3577861699
Group Practice PAC ID
5799021291
Professional Enrollment ID
I20230801000523
Address ID
CO801296688HI1500XDRXX400

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness85
Years active:12State licenses:3Other namesUpdated within 12 months

2,128 DIAGNOSTIC RADIOLOGY in IL

Provider Addresses for DR. GUSTAVO ADOLFO MENDEZ (M.D.)

  • 180 HARVESTER DR

    SUITE 110

    BURR RIDGE, IL 605277594

    Phone: (773) 702-1150

    Type: Mailing

  • 5841 S MARYLAND AVE

    M/C 2026

    CHICAGO, IL 606371447

    Phone: (773) 702-3550

    Type: Location

  • PO BOX 110429

    AURORA, CO 800420429

    Phone:

    Type: Mailing

  • 12605 E 16TH AVE

    AURORA, CO 800452545

    Phone: (720) 848-0000

    Type: Location

  • 300 PASTEUR DR

    STANFORD, CA 943052296

    Phone:

    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: 2023-08-01

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20220714003667IDiagnostic RadiologyCATBD
I20230801000523IDiagnostic RadiologyCOTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
70450Ct scan head or brain without contrast200190$0
70553Mri scan of brain before and after contrast7776$0
70496Ct scan of blood vessels of head with contrast5454$0
70498Ct scan of blood vessels of neck with contrast5454$0
72125Ct scan of upper spine without contrast5151$0
View full utilization report →

Insurance plans in this area (ZIP 60527)

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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: 5799021291View full group profile
NameSpecialtyState
Diagnostic RadiologyMN
Diagnostic RadiologyCO
Diagnostic RadiologyCO
Diagnostic RadiologyCO
Diagnostic RadiologyNC
Diagnostic RadiologyLA
Diagnostic Radiology, Interventional Radiology, Nuclear MedicineCO
-NV
Nuclear Medicine, Diagnostic RadiologyCO
Diagnostic RadiologyCO

Reviews

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Frequently asked questions

What number should I use to identify DR. GUSTAVO ADOLFO MENDEZ (M.D.) for billing?
Administrative and clinical systems typically use NPI 1689014540 for DR. GUSTAVO ADOLFO MENDEZ (M.D.).
Should I treat DR. GUSTAVO ADOLFO MENDEZ (M.D.) as an active provider?
Patients and plans typically see DR. GUSTAVO ADOLFO MENDEZ (M.D.) as active in the national extract.
How should patients interpret DR. GUSTAVO ADOLFO MENDEZ (M.D.)'s specialty?
The extract shows Neuroradiology Physician for DR. GUSTAVO ADOLFO MENDEZ (M.D.). Clinical services aligned with this taxonomy classification.
Which community is linked to DR. GUSTAVO ADOLFO MENDEZ (M.D.)?
DR. GUSTAVO ADOLFO MENDEZ (M.D.) shows a connection to Burr Ridge, Illinois in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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