MANUEL A MENDOZA (MD) – Emergency Medicine Physician, NPI 1740269158
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,309 EMERGENCY MEDICINE in WI
Provider Addresses for MANUEL A MENDOZA (MD)
707 14th St
Baraboo, WI 539131539
Phone: (608) 356-1400
Type: Location
Saint Clare Hospital, 707, 14th Street, Baraboo, Sauk County, Wisconsin, 53913, United States
BARABOO, WI 539131539
Phone: (608) 356-1400
Type: Mailing
ThedaCare Medical Center-New London, 1405, Mill Street, New London, Town of Hortonia, Outagamie County, Wisconsin, 54961, United States
NEW LONDON, WI 549612155
Phone: (920) 531-2000
Fax: (920) 531-2030
Type: Location
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: 2024-06-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100719000901 | I | Emergency Medicine | WI | TBD |
| I20240223000292 | I | Emergency Medicine | VI | TBD |
| I20240627004013 | I | Emergency Medicine | MP | TBD |
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.
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 53913)
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