NPIMap

Individual provider Active NPI

Roger Francisco Carbajal Mendoza, M.D.

  • Hospitalist Physician
  • Houston, TX
National Provider Identifier
1184929333
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
P0559 Issued in TX
Practice address
10023 S. Main
C-9
Houston, TX 77025
Phone
(713) 791-1633
Fax
(713) 791-1710
NPI assigned
Jan 19, 2011
Last updated
Sep 13, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 003707 NY
Hospitalist Physician 208M00000X P0559 TX Primary

Addresses

Primary practice location

10023 S. Main
C-9
Houston, TX 77025

Mailing address

12234 Shadow Creek Pkwy Ste 5104
Pearland, TX 77584-7334
Phone (347) 785-6943

Other identifiers 1

IdentifierTypeStateIssuer
03313628MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150320001267 TX Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Nephrology 6608045802 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine, Nephrology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optimcurea LLCGroup PAC ID 3678843646, 2 clinicians

Practice addresses (Care Compare)

12234 Shadow Creek Pkwy
Suite 5104
Pearland, TX 77584-7334
Phone (281) 764-7080

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hermann Medical Group Nephrology CurrentSince Apr 1, 2019 Accepting new patients
Southeast Texas Nephrology Associates PA Nephrology CurrentSince Nov 1, 2015 Accepting new patients
Optimcurea LLC Nephrology CurrentSince May 20, 2017 Accepting new patients

Locations

3395 Plaza 10 Dr
Ste A
Beaumont, TX 77707
Phone (281) 710-0310

915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222

2300 Highway 365
Ste 210
Nederland, TX 77627
Phone (409) 985-6657

12234 Shadow Creek Pkwy
Ste 5104
Pearland, TX 77584
Phone (281) 764-7080

3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1184929333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12234 SHADOW CREEK PKWY STE 5104",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775847334",
            "telephone_number": "347-785-6943"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10023 S. MAIN",
            "address_2": "C-9",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77025",
            "telephone_number": "713-791-1633",
            "fax_number": "713-791-1710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARBAJAL MENDOZA",
        "first_name": "ROGER",
        "middle_name": "FRANCISCO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-19",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NY",
            "license": "003707",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "P0559",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03313628",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.