DR. ROGER EDWARD MENDIS (NPI# 1861493413) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861493413 |
| Entity Type | Individual |
| Full Name | DR. ROGER EDWARD MENDIS |
| Credential | M.D. |
| Practice Address |
2725 Capitol Ave Suite 300 Sacramento CA 95816-6004 |
| Mailing Address |
10470 Old Placerville Rd Suite 100 Sacramento CA 95827-2539 |
| Practice Telephone | 9162629370 |
| Practice Fax Number | 7182629375 |
| Mailing Telephone | 8004700071 |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2015-07-28 |
| NPI Deactivation Date | 03/22/2006 |
| NPI Reactivation Date | 2006-03-28 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
G83502 | CA | Allopathic & Osteopathic Physicians |
| N | 207RG0100X |
Internal Medicine Specialization: Gastroenterology |
164935 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01423138 | 05 |
| Street Address |
2725 CAPITOL AVE SUITE 300 |
| City | SACRAMENTO |
| State | CA |
| Zip Code | 95816-6004 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902151269 | Ashlee Kristine Harrah | Physician Assistant | 2725 Capitol Ave, Suite 302, Sacramento, CA 95816-6004 | 2012-07-23 |
| 1972862613 | Patrick Sean Kilday | Urology | 2725 Capitol Ave, Suite 400, Sacramento, CA 95816 | 2012-05-15 |
| 1295092542 | Sutter Medical Foundation | Durable Medical Equipment & Medical Supplies | 2725 Capitol Ave, Sacramento, CA 95816-6004 | 2012-04-11 |
| 1548538929 | Radiological Associates of Sacramento Medical Group Inc | Nuclear Medicine | 2725 Capitol Ave, Sacramento, CA 95816-6004 | 2011-12-13 |
| 1285931147 | Adam R. Borruso | Nurse Practitioner | 2725 Capitol Ave, Suite 400, Sacramento, CA 95816-6004 | 2011-02-11 |
| 1467680694 | Leah Gilana Gessin | Physician Assistant | 2725 Capitol Ave, Sacramento, CA 95816-6006 | 2009-06-25 |
| 1639307267 | Renee Campbell Garner | Speech-Language Pathologist | 2725 Capitol Ave, Suite 404, Sacramento, CA 95816-6004 | 2009-06-22 |
| 1518145002 | Dion Francis Parks | Registered Nurse | 2725 Capitol Ave, Suite 302, Sacramento, CA 95816-6004 | 2008-02-06 |
| 1023203924 | Yuhwan Hong | Orthopaedic Surgery | 2725 Capitol Ave, Suite 302, Sacramento, CA 95816-6004 | 2007-09-13 |
| 1356536080 | Melinda Joy Vanrooyen | Physician Assistant | 2725 Capitol Ave, Suite 304, Sacramento, CA 95816-6004 | 2007-09-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922618917 | Alyssa Weakley | Clinical Neuropsychologist | Uc Davis Midtown Neurology Clinic, 3160 Folsom Blvd, Sacramento, CA 95816 | 2020-08-04 |
| 1417418955 | Soraya Foutouhi | Student in an Organized Health Care Education/Training Program | 301 C Street, Suite 1400, Sacramento, CA 95816 | 2019-03-27 |
| 1265902704 | Daljit Girn | Behavior Technician | 1315 Alhambra Blvd Ste 110, Sacramento, CA 95816 | 2018-11-27 |
| 1609385178 | Jared James Harold-husted | Behavior Technician | 3031 C St, Sacramento, Sacramento, CA 95816 | 2017-09-27 |
| 1124537170 | Phuong Huynh | Behavior Technician | 3009 C Street, Sacramento, CA 95816 | 2017-09-21 |
| 1427570811 | Manpreet Kaur Chehal | Counselor | 500 22nd Street, Sacramento, CA 95816 | 2017-07-07 |
| 1295264646 | Veronica Lynn Just | Behavior Technician | 3031 C St., Sacramento, CA 95816 | 2017-06-08 |
| 1285163907 | Marquise Jones | Behavior Technician | 3031 C Street, Sacramento, CA 95816 | 2017-06-06 |
| 1578007159 | Kate Hanel | Student in an Organized Health Care Education/Training Program | 2500 I St, Sacramento, CA 95816 | 2016-12-15 |
| 1184174534 | Jennifer M Stegner | Nurse Practitioner | 1625 Stockton Blvd #104, Sacramento, CA 95816 | 2016-10-10 |
| Find all providers in zip 95816 | ||||
| Taxonomy Code | 207RG0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Gastroenterology |
| An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225271331 | Eric Chak | Internal Medicine | 2825 J St Ste 400, Sacramento, CA 95816-4300 | 2009-04-20 |
| 1134255698 | Jeffrey A Goldstein | Internal Medicine | 3941 J Street Suite 450, Sacremento Gastroenterology, Sacramento, CA 95819 | 2007-02-26 |
| 1740232875 | Cecilia Terrado | Internal Medicine | 4150 V St Ste 3500, Sacramento, CA 95817-1460 | 2006-05-17 |
| 1891779740 | Rekha Cheruvattath | Internal Medicine | 8120 Timberlake Way Ste 101, Sacramento, CA 95823-5413 | 2005-12-05 |
| 1851384044 | De Tan | Internal Medicine | 2725 Capitol Ave Dept 300, Sacramento, CA 95816-6006 | 2005-08-24 |
| 1811455652 | Hansen Kwok Md Inc | Internal Medicine | 1111 Exposition Blvd Ste 400a, Sacramento, CA 95815-4336 | 2019-03-12 |
| 1487032355 | Sirisha Grandhe | Internal Medicine | 2315 Stockton Blvd, Sacramento, CA 95817 | 2015-05-12 |
| 1326434200 | Sheeva Johnson | Internal Medicine | 4150 V St # 1110, Sacramento, CA 95817-1460 | 2015-04-08 |
| 1841610862 | Stephanie Mai | Internal Medicine | 2725 Capitol Ave Dept 300, Sacramento, CA 95816-6006 | 2014-04-17 |
| 1992122196 | Alexander Kuo | Internal Medicine | 4150 V St, #1100, Sacramento, CA 95817-1460 | 2014-03-25 |
| Find all providers in SACRAMENTO | ||||
| City | SACRAMENTO |
| Zip Code | 95816 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.