EMIL I MONDOA (MD) – Pediatrics Physician, NPI 1124006192

EMIL I MONDOA (MD) is a healthcare provider. based in Camden, New Jersey. specializing in Pediatrics Physician. They hold the professional credentials MD. They hold a License No. 25MA05423800 (NJ). The NPI Number for EMIL I MONDOA (MD) is 1124006192

Main info

Male
45 Years Of Experience
Accepts Medicare Assignment
Name
EMIL I MONDOA (MD)
NPI
1124006192
Phone
(856) 757-3988
Address
1600 HADDON AVE
Enumeration Date
9 January 2006
Last Update Date
9 July 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3022660930
Graduation Year
1981 (45 years ago)
PAC ID
9436174463
Group Practice PAC ID
5294981163
Professional Enrollment ID
I20130805000259
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

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Provider Addresses for EMIL I MONDOA (MD)

  • Our Lady of Lourdes Medical Center, 1600, Haddon Avenue, Parkside, Camden, Camden County, New Jersey, 08103, United States

    CAMDEN, NJ 081033101

    Phone: (856) 757-3988

    Mailing address matches the actual address.

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: 2013-08-05

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
I20130805000226IPediatric MedicineNJTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes104104$0
99203New patient office or other outpatient visit, 30-44 minutes5858$0
87804Detection test by immunoassay with direct visual observation for influenza virus2814$0
87811Detection test by immunoassay with direct visual observation for severe acute respiratory syndrome coronavirus 2 (covid-19)2121$0
71046X-ray of chest, 2 views1616$0
View full utilization report →

Insurance plans in this area (ZIP 08103)

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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: 5294981163View full group profile

Reviews

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Frequently asked questions

Can I use this page to confirm EMIL I MONDOA (MD)'s NPI?
Yes. EMIL I MONDOA (MD) is listed with NPI 1124006192 in the public NPI dataset.
Does CMS list EMIL I MONDOA (MD) as active?
Yes — EMIL I MONDOA (MD) is active in the NPI listing used on this page.
What taxonomy line describes EMIL I MONDOA (MD)?
For research purposes, treat EMIL I MONDOA (MD) as Pediatrics Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does EMIL I MONDOA (MD) serve?
EMIL I MONDOA (MD)'s listing highlights Camden, New Jersey; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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