Physician Compare National (NPI:1164441408)

HEALTHCARE PROVIDER: LEONARDO MENDEZ M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1164441408
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	9931387172
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20110617000133
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	MENDEZ
	Individual professional last name
Provider First Name	LEONARDO
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	COLUMBIA UNIVERSITY COLLEGE OF PHYSICIANS AND SURGEONS
	Individual professional's medical school
Graduation Year	1985
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1635 N GEORGE MASON DR
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 470
	Group Practice or individual's line 2 address
City	ARLINGTON
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	222053677
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	490050
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	VIRGINIA HOSPITAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	Y