NPIMap

Individual provider Active NPI

Enrique Antonio Mendez, M.D.

  • Rheumatology Physician
  • Lake Charles, LA
National Provider Identifier
1174605646
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
MD.024079 Issued in LA
Practice address
1727 Imperial Blvd BLDG 1B
Lake Charles, LA 70605-5392
Phone
(337) 312-8617
NPI assigned
Oct 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 024079 LA
Rheumatology Physician 207RR0500X MD.024079 LA Primary

Addresses

Primary practice location

1727 Imperial Blvd BLDG 1B
Lake Charles, LA 70605-5392

Mailing address

1727 Imperial Blvd BLDG 1B
Lake Charles, LA 70605-5392
Phone (337) 312-8617

Other identifiers 1

IdentifierTypeStateIssuer
1485055MedicaidLA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040902000434 LA Practitioner - RheumatologyPractitioner - Internal Medicine 7113993015 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Lake Charles, LA 70605
Phone (337) 436-8113

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
76.93 of 100Reported as individual
Quality
47.03
Promoting interoperability
98
Improvement activities
40
Cost
70.68

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
024079LAMDRheumatology Physician
MD.024079LAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imperial Health LLP Past Accepting new patients
Mobile Imaging, Inc. PastSince Nov 11, 2005 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HGDBED/Endpoint/HGDBED
  • Direct secure messaging: emendez5287538@direct.casso.us.com
  • Direct secure messaging: emendez@direct.centerforortho.com

Organizations & group practices 3

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

Hospital & facility affiliations 18

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1174605646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1727 IMPERIAL BLVD BLDG 1B",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055392",
            "telephone_number": "337-312-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1727 IMPERIAL BLVD BLDG 1B",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706055392",
            "telephone_number": "337-312-8617"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "ENRIQUE",
        "middle_name": "ANTONIO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-20",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "LA",
            "license": "024079",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "LA",
            "license": "MD.024079",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1485055",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.