Edgar A D Mendoza, M.D.
Pediatrics Physician · Jackson, KY
Edgar A D Mendoza, M.D. is a pediatrics physician with a practice address in Jackson, Kentucky, and NPI 1891891388, issued on Sep 15, 2006. Check the license (Kentucky 33465, as entered in NPPES) on the Kentucky Board of Medical Licensure; the Medicare figures below come from public CMS files.
- Name
- Edgar A D Mendoza
- Credential
- M.D.
- Primary taxonomy
- Pediatrics Physician 208000000X
- License number
- 33465 KY
Self-reported in NPPES; status is on the state search - Practice location
- 1484 Lakeside Drive, Jackson, KY 41339
- Phone
- (606) 666-9950
- Enumerated
- Sep 15, 2006
- Record last updated
- Mar 13, 2020 (not updated in 6 years: call before relying on the address or phone)
- Fax
- (606) 666-9136
- Medicaid ID
- 64343650 KY
- Entity
- Type 1 · individual
8 nearest pediatrics physician records → All 874 in Kentucky → Look up another NPI →
Also registered at 1484 Lakeside Drive
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Beverly Ellis, APRNFamily Nurse Practitioner1124488903
- Brittany Fugate, D.O.Internal Medicine Physician1871980003
- Derrick Hamilton, D.O.Internal Medicine Physician1376631283
- Allison Manning, APRN, NP-CFamily Nurse Practitioner1477818896
- Kimerli Plumb-Moore, M.D.Pediatrics Physician1477540086
- Rebecca Smith, LCSWClinical Social Worker1174836662
Verify Edgar A D Mendoza in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersKentucky Board of Medical Licensure
Search for license 33465Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Industry payments in 2024: $138.42
7 payments; by number, the most common kind was food and beverage; the largest payer was Abbvie Inc. The 21,580 providers of this specialty with any payment received $842.05 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Edgar A D Mendoza among 874 pediatrics physician records in Kentucky
Edgar A D Mendoza, M.D. is one of 874 pediatrics physician records with a practice address in Kentucky. 52% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2006, is newer than 15% of them.
- NPI issued2006 · 15% of these records are older, 56% newer
- In a Medicare fileYes · 52% of these records are
- In the CMS Doctors and Clinicians fileNo · 15% of these records are
- Record last updated2020 · 54% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 208000000X and a Kentucky practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
2 pediatrics physician records list a practice address in Jackson
They are 2 of the 149 NPPES records with a practice address in Jackson, and 874 pediatrics physician records in Kentucky.
All 874 in Kentucky → Every provider in Jackson → Pediatrics Physician nationwide →
The 8 pediatrics physician records with the nearest ZIP codes
- Kimerli Plumb-Moore, M.D.Jackson, KY 413391477540086
- Hadi Abu Rasheed, M.D.Beattyville, KY 413111588872543
- Denise Whitcher, M.D.Beattyville, KY 413111568478303
- Sunshine Smoot, MDCampton, KY 413001952515025
- Tasha Russell, D.OInez, KY 412241780977389
- Travis Johnson, MDWest Liberty, KY 414721013405778
- Cathy Boggs, DOVanceburg, KY 411791275857146
- Debra Parsons, M.D.Vanceburg, KY 411791740388867
Common questions
What is Edgar A D Mendoza, M.D.'s NPI number?
Edgar A D Mendoza, M.D.'s National Provider Identifier (NPI) is 1891891388, issued on Sep 15, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Edgar A D Mendoza, M.D. located?
The NPPES record lists a practice address at 1484 Lakeside Drive, Jackson, KY, 41339. Phone: (606) 666-9950. Providers update this record themselves, so call before visiting.
How can I verify Edgar A D Mendoza, M.D.'s license?
NPPES lists Kentucky license number 33465, as entered by the provider. Search the Kentucky Board of Medical Licensure at https://web1.ky.gov/GenSearch/LicenseSearch.aspx?AGY=5. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.