SHAWN JAMES MENDONCA (MD) – Urology Physician, NPI 1619219052

SHAWN JAMES MENDONCA (MD) is a healthcare provider. based in Allentown, Pennsylvania. specializing in UROLOGY. They hold the professional credentials MD. They hold a License No. 297137 (NY). The NPI Number for SHAWN JAMES MENDONCA (MD) is 1619219052

Main info

Male
13 Years Of Experience
Accepts Medicare Assignment
Name
SHAWN JAMES MENDONCA (MD)
NPI
1619219052
Phone
(484) 884-0617
Address
2100 MACK BLVD
Enumeration Date
24 March 2013
Last Update Date
25 April 2024

Doctor Profile

Medical School Name
MICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Secondary Phone
7036802111
Graduation Year
2013 (13 years ago)
PAC ID
2062758857
Group Practice PAC ID
1557329406
Professional Enrollment ID
I20231115000159
Address ID
VA221913346WO2296XBLVD302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience68
Completeness75
Years active:13State licenses:3Digital endpointsOther names

1,044 UROLOGY in NY

Provider Addresses for SHAWN JAMES MENDONCA (MD)

  • 2100 MACK BLVD

    ALLENTOWN, PA 181035622

    Phone: (484) 884-0617

    Fax: (484) 884-0628

    Type: Mailing

  • 161 Fort Washington Ave Fl 11

    New York, NY 10032

    Phone: (212) 305-0114

    Fax: (212) 305-0116

    Type: Location

  • 1250 S CEDAR CREST BLVD STE 215

    ALLENTOWN, PA 181036271

    Phone: (610) 402-6986

    Fax: (610) 402-4660

    Type: Location

  • 2296 OPITZ BLVD STE 350

    WOODBRIDGE, VA 221913346

    Phone: (703) 680-2111

    Fax: (703) 878-3939

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 24 Open Payments records for all available years, with a total value of $599.

Total Amount is formed as General ($599) + Research ($0) + Ownership ($0) = $599.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Astellas Pharma US Inc ($158).

Total Amount

$599

General + Research + Ownership

Payments

24

Total payment records

General Amount

$599

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

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: 2023-11-20

PECOS data refreshed: 2026-05-27

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
I20231115000159IUrologyVATBD
I20231120001698IUrologyDCTBD

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
J0585Injection, onabotulinumtoxina, 1 unit2,20019$0
99214Established patient office or other outpatient visit, 30-39 minutes308242$0
81003Automated urinalysis test308222$0
51798Ultrasound measurement of bladder capacity after voiding189150$0
52000Diagnostic exam of bladder and urethra using an endoscope131120$0
View full utilization report →

Insurance plans in this area (ZIP 18103)

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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: 1557329406View full group profile
NameSpecialtyState
U R O L O G YVA
Physician AssistantVA
-VA
U R O L O G YDC
U R O L O G YVA
U R O L O G YVA
Interventional RadiologyVA
Physician AssistantVA
U R O L O G YVA
U R O L O G YVA

Reviews

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Frequently asked questions

How do I look up SHAWN JAMES MENDONCA (MD) by NPI?
Use NPI 1619219052 when you need to reference SHAWN JAMES MENDONCA (MD) in forms, claims, or directories.
Does this profile mean SHAWN JAMES MENDONCA (MD) is currently active?
Yes — SHAWN JAMES MENDONCA (MD) appears active in the national provider directory.
What does SHAWN JAMES MENDONCA (MD) treat or focus on?
Patients typically see SHAWN JAMES MENDONCA (MD) under the specialty Urology Physician. Clinical services aligned with this taxonomy classification.
What location shows for SHAWN JAMES MENDONCA (MD)?
We surface Allentown, Pennsylvania for SHAWN JAMES MENDONCA (MD) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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