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

Nikolai Peter Mendonca, MD

Individual provider Internal Medicine Physician · NPI 1093121212

Nikolai Peter Mendonca, MD is an Internal Medicine in Saint Paul, Minnesota. Qualified in 2011, 15 years ago. Practices with Group Health Plan Inc, a 1,633-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Florida, Minnesota and Wisconsin.

Years since qualifying
15
Licensed in
FL, MN, WI
In the registry since
2014
Specialties on file
4
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

640 Jackson St
Saint Paul, MN 55101-2502
Phone: (651) 254-3456
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1300 Miccosukee Rd, Tallahassee, FL 32308-5054 — (850) 431-4356

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 70748 (MN)
Internal Medicine Physician Taxonomy 207R00000X · Licence ME143993 (FL)
Hospitalist Physician Taxonomy 208M00000X · Licence 66543 (WI)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093121212
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 8, 2014
Last updated in NPPESApril 22, 2022
Certification dateApril 22, 2022
Mailing address8170 33rd Ave S # Ms 21110q, Bloomington, MN 55425-4516

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Also practisesHOSPITALIST
Medical schoolOTHER
Graduated 2011 (15 years in practice)
Group practice Group Health Plan Inc — 1633 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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