Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Juan Rafael Mendoza Ortiz, MD

Individual provider Family Medicine Physician · NPI 1447737358

Juan Rafael Mendoza Ortiz, MD is a Family Practice in Bloomington, Illinois. Graduated from Ponce School of Medicine in 2020, 6 years ago. Practices with Carle West Physician Group Inc, a 285-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
6
Trained at
Ponce School of Medicine
Licensed in
IL
In the registry since
2018
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3024 E Empire St Fl 3
Bloomington, IL 61704-5402
Phone: (309) 556-7700
Fax: (309) 556-7775
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • I11 Calle 3, Caguas, PR 00726 — (787) 633-2456

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 036175617 (IL)

Record details

NPI number1447737358
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJuly 24, 2018
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Medical schoolPONCE SCHOOL OF MEDICINE
Graduated 2020 (6 years in practice)
Group practice Carle West Physician Group Inc — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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