Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1740348317 Individual Practitioner Male Practitioner

Dr. Prudencio Mendez , MD

Specialist • Chesapeake, VA

Professional Overview & Biography Verified Profile Summary

Dr. Prudencio Mendez, MD is a registered healthcare professional specializing in Specialist in Chesapeake, VA. Practice services are available at 680 KINGSBOROUGH SQ under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

680 Kingsborough Sq
Suite A

Chesapeake, VA 233204988

Telephone 7573622529
Associated Practice Facility / Clinic
🏢 Ivyrehab Sept, Llc Facility NPI 1568689479

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Chesapeake, VA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 46.0 Yrs
State Avg: 37.5 Yrs
Regional Practice Density
23 Specialists

Practicing in Chesapeake, VA (878 Statewide)

Telehealth Adoption Rate
8.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License VA 0101-040834

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners
NPI 1013025469

LACDIPLACMTOMCH

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 680 KINGSBOROUGH SQ, SUITE A, CHESAPEAKE, VA 233204988 (Tel: 7573622529)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1412 FENTRESS RD, CHESAPEAKE, VA 233223930 (Tel: 7573622529)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as PRUDENCIO MENDEZ, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #0101-040834 in VA)

🟢
Initial NPI Registration & Enumeration December 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1740348317
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: December 05, 2006
Last Update: March 07, 2023
Sole Proprietor: Yes

Mailing Address

1412 Fentress Rd

Chesapeake, VA 233223930

Phone: 7573622529

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.