Geronimo Mendoza Urias, M.D.
Individual provider Active NPI Pediatrics Physician · Alamogordo, NM
NPI 1356605877 · NPPES record last updated Aug 25, 2026
Key facts
- NPI
- 1356605877
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- MD2015-0230 (NM)
- Practice address
- 700 Cuba Ave
Alamogordo, NM 88310-5951 - Phone
- (575) 554-5700
- Fax
- (866) 611-2267
- NPI assigned
- Jun 29, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 8
Medicare Care Compare profile
- Specialty
- Pediatric Medicine
- Education
- Other, 2010
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
701 W 5TH St
Suite 2C30L
Odessa, TX 79763-4206
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NM, TX
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151114000069 | NM | Practitioner - Pediatric Medicine | 2961712310 | Reassigns benefits to 2 organizations |
| I20251212001416 | TX | Practitioner - Pediatric Medicine | 2961712310 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD2015-0230 | NM | MD | Pediatrics Physician |
| V7580 | TX | MD | Pediatrics Physician |
| BP10043455 | TX | MD | Student in an Organized Health Care Education/Training Program |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Otero County Hospital Association | Current |
Accepting new patients | |
| Otero County Hospital Association | Current |
Accepting new patients | |
| Deming Hospital Corporation | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center Odessa | Pediatrics | Current |
Accepting new patients |
| Deming Hospital Corporation | Current |
Accepting new patients | |
| Deming Hospital Corporation | Current |
Accepting new patients | |
| Odessa Texas Hospital Company LLC | Past | Accepting new patients | |
| Ector County Hospital District | Past | Accepting new patients |
Locations
2559 Medical Dr
Ste D
Alamogordo, NM 88310
Phone (505) 434-2229
2669 Scenic Dr
Alamogordo, NM 88310
Phone (505) 439-6100
905 S 8th St
Deming, NM 88030
Phone (575) 543-7200
721 E Holly St
Ste A
Deming, NM 88030
Phone (575) 201-4204
701 W 5th St
#3142
Odessa, TX 79763
Phone (432) 335-2222
701 W 5th St
Odessa, TX 79763
Phone (432) 335-2222
Interoperability endpoints
- geronimo.mendoza.urias.1@6965.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | BP10043455 | TX | |
| Pediatrics Physician | 208000000X | MD2015-0230 | NM | Yes |
| Pediatrics Physician | 208000000X | V7580 | TX |
Addresses
Primary practice location
700 Cuba Ave
Alamogordo, NM 88310-5951
Mailing address
PO Box 881
Cloudcroft, NM 88317-0881
Phone (832) 275-0789
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 26393 | Medicaid | NM |
Other names
- Dr. Geronimo Mendoza
Other providers in Alamogordo, NM
- Billy Meeks
- Ann Marie Melber
- Tarah D Melendez
- Hannah Mello
- Chelsie Melvin
- Celeste Mendoza
- Deana Mendoza
- Jacqueline Elisa Mendoza
- Jose Alberto Mendoza
- Jessica Meneses
All providers in Alamogordo, NM · Pediatrics Physician in New Mexico
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.