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

Shawn James Mendonca, MD

Individual provider Urology Physician · NPI 1619219052

Shawn James Mendonca, MD is an Urology in Woodbridge, Virginia. Graduated from Michigan State University College of Human Medicine in 2013, 13 years ago. Practices with Potomac Urology Center, LLC, a 17-clinician group, works from 3 locations, accepts Medicare assignment and offers telehealth. Licensed in New York, Pennsylvania and Virginia.

Years since qualifying
13
Trained at
Michigan State University College of Human Medicine
Licensed in
NY, PA, VA
In the registry since
2013
Specialties on file
3
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

2296 Opitz Blvd Ste 350
Woodbridge, VA 22191-3346
Phone: (703) 680-2111
Fax: (703) 878-3939
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 161 Fort Washington Ave Fl 11, New York, NY 10032 — (212) 305-0114
  • 161 Fort Washington Ave Fl 11, New York, NY 10032 — (212) 305-0114

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence 0101280217 (VA)
Urology Physician Taxonomy 208800000X · Licence 297137 (NY)
Urology Physician Taxonomy 208800000X · Licence MD471068 (PA)

Record details

NPI number1619219052
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 24, 2013
Last updated in NPPESApril 25, 2024
Certification dateApril 25, 2024
Mailing address2296 Opitz Blvd Ste 350, Woodbridge, VA 22191-3346

Medicare enrollment

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

Medicare specialtyUROLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF HUMAN MEDICINE
Graduated 2013 (13 years in practice)
Group practice Potomac Urology Center, Llc — 17 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations8 on file with Medicare

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