ALICE MENDELSON (MD) – Orthopaedic Surgery Physician, NPI 1104816081

ALICE MENDELSON (MD) is a healthcare provider. based in Warren, Michigan. specializing in ORTHOPEDIC SURGERY. They hold the professional credentials MD. They hold a License No. 4301074428 (MI). The NPI Number for ALICE MENDELSON (MD) is 1104816081

Main info

Female
30 Years Of Experience
Accepts Medicare Assignment
Name
ALICE MENDELSON (MD)
NPI
1104816081
Phone
(586) 582-7070
Address
11900 E 12 MILE RD
Enumeration Date
24 October 2005
Last Update Date
10 July 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7345420200
Graduation Year
1996 (30 years ago)
PAC ID
3072573278
Group Practice PAC ID
8426008368
Professional Enrollment ID
I20041012001473
Address ID
MI481541900LI36622RDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,081 ORTHOPEDIC SURGERY in MI

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Provider Addresses for ALICE MENDELSON (MD)

  • East 12 Mile Road, Warren, Macomb County, Michigan, 48092, United States

    SUITE 110

    WARREN, MI 480933400

    Phone: (586) 582-7070

    Fax: (586) 582-7066

    Type: Mailing

  • 36622 FIVE MILE RD STE 101

    LIVONIA, MI 481541900

    Phone: (734) 542-0200

    Fax: (734) 542-0220

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $3,596.

Total Amount is formed as General ($3,596) + Research ($0) + Ownership ($0) = $3,596.

Last reported payment date: 2024-09-19 • Largest payer in this snapshot: Zimmer Biomet Holdings, Inc. ($3,286).

Total Amount

$3,596

General + Research + Ownership

Payments

20

Total payment records

General Amount

$3,596

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-19

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2004-10-12

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
I20041012001473IOrthopedic SurgeryMITBD

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
99214Established patient office or other outpatient visit, 30-39 minutes14688$0
73562X-ray of knee, 3 views8257$0
20610Aspiration and/or injection of fluid from large joint7349$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg7150$0
J1020Injection, methylprednisolone acetate, 20 mg6143$0
View full utilization report →

Insurance plans in this area (ZIP 48093)

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Provider's Procedures

ALICE MENDELSON (MD) performs procedures in ORTHOPEDIC SURGERY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ORTHOPEDIC SURGERYMI20610Aspiration and/or injection of large joint or joint capsule10175

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: 8426008368View full group profile
NameSpecialtyState
-MI
Physician AssistantMI
Physician AssistantMI
Physical Therapist In Private PracticeMI
-MI
-MI
Physical Therapist In Private PracticeMI
Physician AssistantMI
Family Practice, Geriatric MedicineMI
C H I R O P R A C T I CMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for ALICE MENDELSON (MD)?
ALICE MENDELSON (MD) — NPI 1104816081 — is the standard way to identify this listing.
Can I rely on ALICE MENDELSON (MD) being an active provider?
As of the registry snapshot, ALICE MENDELSON (MD) is marked active.
What is ALICE MENDELSON (MD)'s specialty?
The listing groups ALICE MENDELSON (MD) with Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
Where is ALICE MENDELSON (MD) based?
ALICE MENDELSON (MD) is tied to Warren, Michigan in the data we show; additional addresses may exist on the full record.
Why does ALICE MENDELSON (MD) have multiple addresses?
4 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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