Individual provider Active NPI

Walter Dequillo Mendoza, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1669768297
Registry record updated Nov 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
Q2024 Issued in TX
Practice address
4545 Post Oak Place Dr
Houston, TX 77027-3164
Phone
(713) 960-8008
Fax
(713) 960-0965
NPI assigned
Jun 22, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 6, 2014

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 Q2024 TX Primary

Addresses

Primary practice location

4545 Post Oak Place Dr
Houston, TX 77027-3164

Mailing address

4545 Post Oak Place Dr
Houston, TX 77027-3164
Phone (713) 960-8008

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
I20141205000357 TX Practitioner - HospitalistPractitioner - Internal Medicine 3678895448 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMH Physician Associates PLLCGroup PAC ID 4486711744, 1,881 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians

Practice addresses (Care Compare)

Houston, TX 77070
Phone (281) 737-0899

16605 Southwest Fwy
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 Southwest Fwy 400 Mob3
Methodist Family Medicine Group
Sugar Land, TX 77479-3500
Phone (281) 275-0800

16605 SW Fwy 410
Methodist Diag Card of Houston
Sugar Land, TX 77479-3500
Phone (281) 274-0148

18220 State Hwy 249
Houston, TX 77070-4347
Phone (281) 737-8300

6445 Main St
Suite 2500
Houston, TX 77030-1502
Phone (713) 441-3150

7575 San Felipe St
Suite 155
Houston, TX 77063-1777
Phone (713) 266-9955

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMH Physician Associates PLLC CurrentSince Jan 1, 2020 Accepting new patients
Memorial Hermann Medical Group Internal Medicine CurrentSince Sep 9, 2019 Accepting new patients
Ipc Healthcare Services of Texas, PLLC Internal Medicine CurrentSince Apr 1, 2017 Accepting new patients
TMH Physician Associates PLLC Internal Medicine CurrentSince Jan 1, 2020 Accepting new patients
Methodist Health Centers Past Accepting new patients
Mile High Psychiatry, LLC Past Accepting new patients

Locations

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

18220 Tomball Pkwy
Houston, TX 77070
Phone (281) 477-0000

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

7575 San Felipe St
Ste 155
Houston, TX 77063
Phone (713) 266-9955

11800 Astoria Blvd
Pearland, TX 77089
Phone (281) 929-6100

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

16605 Southwest Fwy
Ste 400
Sugar Land, TX 77479
Phone (281) 275-0800

Interoperability endpoints

  • Direct secure messaging: wmendoza44661@directhoustonmethodist.org

Organizations & group practices 7

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 2

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": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415232000000",
    "number": "1669768297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4545 POST OAK PLACE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273164",
            "telephone_number": "713-960-8008",
            "fax_number": "713-960-0965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 POST OAK PLACE DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770273164",
            "telephone_number": "713-960-8008",
            "fax_number": "713-960-0965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "WALTER",
        "middle_name": "DEQUILLO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-22",
        "last_updated": "2014-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "Q2024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.