Camillo M Mendoza (NPI# 1023081395, PAC ID# 2062557606) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1023081395 |
| PAC ID by PECOS | 2062557606 |
| Professional Enrollment ID | I20100325000015 |
| Full Name | Camillo M Mendoza |
| Organization Legal Name | INTERNAL MEDICINE PRACTICE LLC |
| Address |
455 E Hospital Ln Terre Haute IN 47802-4245 |
| Phone Number | 8122381521 |
| Gender | M |
| Graduation Year | 1999 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 0547393902 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150046 | TERRE HAUTE REGIONAL HOSPITAL |
| 150023 | UNION HOSPITAL INC |
| 151309 | ST. VINCENT CLAY HOSPITAL INC |
| 151317 | GREENE COUNTY GENERAL HOSPITAL |
| 151327 | SULLIVAN COUNTY COMMUNITY HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1011 E National Ave, Brazil, IN 47834-2713 | 8124463278 | INTERNAL MEDICINE PRACTICE LLC |
| 455 E Hospital Ln, Terre Haute, IN 47802-4245 | 8122381521 | INTERNAL MEDICINE PRACTICE LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_047_overall | Care Plan | 98% |
| Organization Legal Name | INTERNAL MEDICINE PRACTICE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Freya G Paje | Internal Medicine | Internal Medicine Practice LLC | 1011 E National Ave, Brazil, IN 47834-2713 |
| Street Address |
455 E HOSPITAL LN |
| City | TERRE HAUTE |
| State | IN |
| Zip | 47802-4245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Primo Aquino Andres | Cardiovascular Disease (cardiology) | 455 E Hospital Ln, Terre Haute, IN 47802-4245 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberli Rae Pepelea | Clinical Social Worker | Life Changes Mental Health and Addictions LLC | 1537 S 7th St, Terre Haute, IN 47802-1610 |
| Wendy K Kennedy | Podiatry | 1543 S 7th St, Terre Haute, IN 47802-1610 | |
| Michael A Toney | Chiropractic | 1815 S 3rd St, Terre Haute, IN 47802-1919 | |
| Christopher S Yamamoto | Chiropractic | 2940 Professional Ln, Terre Haute, IN 47802-3300 | |
| Rhonda West | Nurse Practitioner | Providence Medical Group, LLC | 2723 S 7th St C, Terre Haute, IN 47802-3558 |
| Joseph Y Abdayem | Family Medicine | Providence Medical Group, LLC | 2723 S 7th St L, Terre Haute, IN 47802-3558 |
| Tony K Nasser | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Nawar F Mercho | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Henry Johannes Davis | Rheumatology | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Neil G Kabous | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Find all physicians in zip 47802 | |||
| City | TERRE HAUTE |
| Zip Code | 47802 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | TERRE HAUTE + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Camillo M Mendoza.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.