Individual provider Active NPI

Rodolfo Mendez-Cancel, MD

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1649491648
Registry record updated Jun 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J7582 Issued in TX
Practice address
5535 Memorial Dr
F501
Houston, TX 77007-8021
Phone
(713) 805-5870
Fax
(713) 805-5870
NPI assigned
May 1, 2007
Last updated
Jun 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J7582 TX Primary

Addresses

Primary practice location

5535 Memorial Dr
F501
Houston, TX 77007-8021

Mailing address

5535 Memorial Dr
F501
Houston, TX 77007-8021
Phone (713) 805-5870

Other identifiers 1

IdentifierTypeStateIssuer
121424902MedicaidTX

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040518001256 TX Practitioner - Internal MedicinePractitioner - Family Practice 7719978956 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
South Main Clinic, Inc CurrentSince Jul 3, 2023 Accepting new patients
Prime Physicians PA Internal Medicine CurrentSince Sep 20, 2023 Accepting new patients
Mai Medical Internal Medicine CurrentSince Sep 6, 2023 Accepting new patients
Robert Manuel Castillo PastSince Sep 22, 2003 Accepting new patients

Locations

12333 Main St
Houston, TX 77035
Phone (713) 729-7600

12660 Beechnut St
Ste 110
Houston, TX 77072
Phone (281) 564-2242

3648 Cypress Creek Pkwy
Ste 240
Houston, TX 77068
Phone (832) 604-9944

710 FM 1960 Rd W
Houston, TX 77090
Phone (281) 440-1000

Organizations & group practices 4

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307664000000",
    "number": "1649491648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5535 MEMORIAL DR",
            "address_2": "F501",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770078021",
            "telephone_number": "713-805-5870",
            "fax_number": "713-805-5870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5535 MEMORIAL DR",
            "address_2": "F501",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770078021",
            "telephone_number": "713-805-5870",
            "fax_number": "713-805-5870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ-CANCEL",
        "first_name": "RODOLFO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-01",
        "last_updated": "2011-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J7582",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121424902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.