DAVID R. MENDENHALL M.D., LTD. – Primary Care Clinic/Center, NPI 1053525485

DAVID R. MENDENHALL M.D., LTD. is a healthcare provider. based in Las vegas, Nevada. specializing in Primary Care Clinic/Center. The organization holds a License No. 2741 (NV). The NPI Number for DAVID R. MENDENHALL M.D., LTD. is 1053525485

Main info

Organization
Name
DAVID R. MENDENHALL M.D., LTD.
NPI
1053525485
Phone
(702) 384-3200
Address
501 S RANCHO DR
Authorized Official
DR. DAVID REYNOLDS MENDENHALL PRESIDENT M.D.
Enumeration Date
8 May 2007
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

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Provider Addresses for DAVID R. MENDENHALL M.D., LTD.

  • 501, South Rancho Drive, Rancho Circle, Las Vegas, Clark County, Nevada, 89106, United States

    SUITE F-41

    LAS VEGAS, NV 891064828

    Phone: (702) 384-3200

    Fax: (702) 384-5276

    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: 2007-05-14

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
O20070514000332OClinic/Group PracticeNVTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 89106)

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Reviews

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Frequently asked questions

How do I look up DAVID R. MENDENHALL M.D., LTD. by NPI?
Use NPI 1053525485 when you need to reference DAVID R. MENDENHALL M.D., LTD. in forms, claims, or directories.
Does this profile mean DAVID R. MENDENHALL M.D., LTD. is currently active?
Yes — DAVID R. MENDENHALL M.D., LTD. appears active in the national provider directory.
Can you summarize DAVID R. MENDENHALL M.D., LTD.'s specialty in plain language?
Clinically, the directory lists DAVID R. MENDENHALL M.D., LTD. with Primary Care Clinic/Center. Clinical services aligned with this taxonomy classification.
Where does public data place DAVID R. MENDENHALL M.D., LTD.?
The snapshot lists Las Vegas, Nevada for DAVID R. MENDENHALL M.D., LTD.; download NPPES for the complete set.
Is DAVID R. MENDENHALL M.D., LTD. a real provider?
This page reflects official NPPES data for NPI 1053525485. Always confirm identity and privileges with the practice and licensing boards.

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