{"npi":"1619903218","type":"NPI-1","status":"active","name":{"display":"Raul Mendoza-Ayala MD","other":[{"code":"2","type":"Professional name","value":"MENDOZA, RAUL"}],"first":"RAUL","last":"MENDOZA-AYALA","credential":"MD"},"specialty":{"primary_taxonomy":"207RP1001X","primary_taxonomy_description":"Pulmonary Disease Physician","slug":"pulmonary-disease-physician","schema_org_specialty":null,"all":[{"code":"207RP1001X","description":"Pulmonary Disease Physician","primary":true,"state":"WI","license":"42580"}]},"addresses":[{"purpose":"LOCATION","street_1":"2845 GREENBRIER RD","city":"GREEN BAY","state":"WI","postal_code":"543116519","country_code":"US","phone":"9202888000"},{"purpose":"MAILING","street_1":"PO BOX 735044","city":"CHICAGO","state":"IL","postal_code":"606735044","country_code":"US","phone":"9202888000"}],"license":{"state":"WI","number":"42580"},"identifiers":[{"type_code":"05","label":"Medicaid","value":"104386082","state":"MI","issuer":null},{"type_code":"05","label":"Medicaid","value":"34036200","state":"WI","issuer":null},{"type_code":"01","label":"Other","value":"290013377","state":"WI","issuer":"RAILROAD"}],"pecos":{"enrolled_at":"2026-05-09T10:41:39.028268+00:00","enrollments":[{"enrlmt_id":"I20050923000331","type_code":"14-29","type_desc":"PRACTITIONER - PULMONARY DISEASE","state":"WI","pac_id":"2769416221"}]},"enumeration_date":"2006-06-24","last_updated":"2024-01-19","_meta":{"source":"NPPES","snapshot_date":"2024-01-19","doc_url":"https://findmynpi.com/api"}}