Individual provider Active NPI

Joel David Mendez, M.D.

  • Emergency Medicine Physician
  • Waco, TX
National Provider Identifier
1063755460
Registry record updated Jun 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q8565 Issued in TX
Practice address
6901 Medical Pkwy
Waco, TX 76712-7910
Phone
(832) 814-7136
NPI assigned
Apr 3, 2013
Last updated
Jun 18, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X Q8565 TX Primary

Addresses

Primary practice location

6901 Medical Pkwy
Waco, TX 76712-7910

Mailing address

6901 Medical Pkwy
Waco, TX 76712-7910
Phone (832) 814-7136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160722001767 TX Practitioner - Emergency Medicine 4587882683 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
Q8565TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bosque County Hospital District Emergency Medicine CurrentSince Oct 9, 2024 Accepting new patients
Bosque County Hospital District Current Accepting new patients
Bosque County Hospital District CurrentSince Oct 9, 2024 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince Nov 1, 2018 Accepting new patients

Locations

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

101 S Avenue T
Clifton, TX 76634
Phone (254) 675-8322

201 S Avenue T
Clifton, TX 76634
Phone (254) 675-4101

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

6901 Medical Pkwy
Waco, TX 76712
Phone (254) 751-4000

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466208000000",
    "number": "1063755460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6901 MEDICAL PKWY",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127910",
            "telephone_number": "832-814-7136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 MEDICAL PKWY",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767127910",
            "telephone_number": "832-814-7136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "JOEL",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-03",
        "last_updated": "2016-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q8565",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waco, TX

Sources for this page

Verify at the official NPI Registry.