Charles B. Gover-Mendez, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

J9689 Issued in TX

Practice address

815 Pennsylvania Ave
Fort Worth, TX 76104-2224

Phone

(817) 321-0404

NPI assigned

Jul 8, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Diagnostic Radiology

Education

University of Puerto Rico School of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Associates LLPGroup PAC ID 0244214757, 16 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Radiology Associates LLP

  • Diagnostic Radiology Physician
  • Corpus Christi, TX
  • NPI 1558311340
  Medicare reassignment Care Compare group NPD
• Radiology Associates of North Texas PA

  • Diagnostic Radiology Physician
  • Fort Worth, TX
  • NPI 1710970975
  Medicare reassignment NPD
• Radiology Associates of North Texas

  • Nuclear Radiology Physician
  • Fort Worth, TX
  • NPI 1396806444
  NPD
• Allergy Arts LLP

  • Rheumatology Physician
  • Amarillo, TX
  • NPI 1659342061
  NPD (past)
• Ammar Jarrous MD PA

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Amarillo, TX
  • NPI 1811172422
  NPD (past)
• Cardiovascular Care Providers, Inc.

  • Specialist
  • Houston, TX
  • NPI 1437242617
  NPD (past)
• Clinical Care in Radiology

  • Physician Assistant
  • Fort Worth, TX
  • NPI 1578331393
  NPD (past)

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

{
    "created_epoch": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1295733822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043194",
            "telephone_number": "817-321-0404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 PENNSYLVANIA AVE",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042224",
            "telephone_number": "817-321-0404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 Dr N W Atkinson Blvd Ste 801",
            "address_purpose": "LOCATION",
            "city": "Alice",
            "state": "TX",
            "postal_code": "783324241",
            "country_code": "US",
            "telephone_number": "361-887-7000",
            "fax_number": "361-561-3185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1776 Billy G Webb",
            "address_purpose": "LOCATION",
            "city": "Portland",
            "state": "TX",
            "postal_code": "783743706",
            "country_code": "US",
            "telephone_number": "361-887-7000",
            "fax_number": "361-561-3185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3929 River East Dr",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784105101",
            "country_code": "US",
            "telephone_number": "361-887-7000",
            "fax_number": "361-561-3185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5742 Spohn Dr",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784144116",
            "country_code": "US",
            "telephone_number": "361-887-7000",
            "fax_number": "361-561-3185",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1812 S Alameda St",
            "address_purpose": "LOCATION",
            "city": "Corpus Christi",
            "state": "TX",
            "postal_code": "784042933",
            "country_code": "US",
            "telephone_number": "361-887-7000",
            "fax_number": "361-561-3185",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOVER-MENDEZ",
        "first_name": "CHARLES",
        "middle_name": "B.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J9689",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1052540-02",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Joseph Goulding, D.D.S.
• Adriana Ivon Goumas, FNP
• Laura Govea, OT
• Linda Dolores Govea, DNP-APRN-FNP-C
• Romi Joy Govender, MD
• Mohanika Gowda, MD
• Jessica Gower, LPC
• Adarsh Goyal, M.D.
• Monica P Goyal, DO
• Simar Goyal

• Diagnostic Radiology Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Diagnostic Radiology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.