Individual provider Active NPI

Jordan Holly Mendoza, M.D.

  • Obstetrics & Gynecology Physician
  • Northglenn, CO
National Provider Identifier
1154646990
Registry record updated Apr 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DR.0054231 Issued in CO
Practice address
11160 Huron St Ste 31
Northglenn, CO 80234-3335
Phone
(720) 689-4274
Fax
(720) 547-1562
NPI assigned
Apr 5, 2010
Last updated
Apr 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DR.0054231 CO Primary

Addresses

Primary practice location

11160 Huron St Ste 31
Northglenn, CO 80234-3335

Mailing address

11160 Huron St Ste 31
Northglenn, CO 80234-3335
Phone (720) 689-4274

Other identifiers 1

IdentifierTypeStateIssuer
25009371MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20141015001924 CO Practitioner - Obstetrics/Gynecology 1052532033 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Colorado School of Medicine, Denver, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Health Initiatives ColoradoGroup PAC ID 8022927342, 1,230 clinicians

Practice addresses (Care Compare)

2030 Mountain View Ave
Suite 400
Longmont, CO 80501-3182
Phone (720) 652-8730

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Obhg Colorado, P.C. Obstetrics & Gynecology CurrentSince Jan 1, 2026 Accepting new patients
Obstetrix Medical Group of Colorado P C CurrentSince Nov 1, 2025 Accepting new patients
Obstetrix Medical Group of Colorado P C CurrentSince Nov 1, 2025 Accepting new patients
Colorado Permanente Medical Group, P.C. Obstetrics & Gynecology CurrentSince Sep 2, 2014 Accepting new patients
Elevated Direct Primary Care, P.C. PastSince Mar 11, 2025 Accepting new patients

Locations

10350 E Dakota Ave
Denver, CO 80247
Phone (303) 636-3350

4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121

2635 N 7th St
Grand Junction, CO 81501
Phone (970) 244-2009

1801 16th St
Greeley, CO 80631
Phone (970) 352-4121

200 Exempla Cir
Lafayette, CO 80026
Phone (303) 689-4110

11245 Huron St
Westminster, CO 80234
Phone (303) 451-9494

Organizations & group practices 8

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": "1270425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1154646990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11160 HURON ST STE 31",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802343335",
            "telephone_number": "720-689-4274",
            "fax_number": "720-547-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11160 HURON ST STE 31",
            "city": "NORTHGLENN",
            "state": "CO",
            "postal_code": "802343335",
            "telephone_number": "720-689-4274",
            "fax_number": "720-547-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "JORDAN",
        "middle_name": "HOLLY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-05",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CO",
            "license": "DR.0054231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "25009371",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Northglenn, CO

Sources for this page

Verify at the official NPI Registry.