Individual provider Active NPI

Jameson Travis Mendel, MD

  • Radiation Oncology Physician
  • El Paso, TX
National Provider Identifier
1679952915
Registry record updated Jun 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
S3024 Issued in TX
Practice address
7420 Remcon Cir Ste a
El Paso, TX 79912-3537
Phone
(915) 422-0154
NPI assigned
May 19, 2015
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R75045 AZ
Radiation Oncology Physician 2085R0001X S3024 TX Primary

Addresses

Primary practice location

7420 Remcon Cir Ste a
El Paso, TX 79912-3537

Mailing address

5044 E Baker St
Tucson, AZ 85711-2123

Other practice location 1

3601 S 6th Ave
Tucson, AZ 85723-0001
Phone (520) 792-1450 ext. 4517

Other identifiers 1

IdentifierTypeStateIssuer
R75045OtherAZARIZONA MEDICAL BOARD

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
I20191030000747 TX Practitioner - Radiation Oncology 4183997570 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rio Grande Urology PAGroup PAC ID 3476627878, 28 clinicians

Practice addresses (Care Compare)

7420 Remcon Cir
Suite a
El Paso, TX 79912-3537
Phone (915) 532-8823

Hospital & facility affiliations

  • University Medical Center of El Paso Hospital, El Paso, TX, CCN 450024

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R75045AZMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rio Grande Urology PA CurrentSince Oct 1, 2019 Accepting new patients

Locations

7420 Remcon Cir
El Paso, TX 79912
Phone (915) 532-8823

1400 George Dieter Dr
Ste 170
El Paso, TX 79936
Phone (915) 592-7400

2201 N Stanton St
El Paso, TX 79902
Phone (915) 533-0800

7420 Remcon Cir
Ste A
El Paso, TX 79912
Phone (915) 225-2023

Organizations & group practices 1

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 3

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": "1431993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591056000000",
    "number": "1679952915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5044 E BAKER ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7420 REMCON CIR STE A",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799123537",
            "telephone_number": "915-422-0154"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 S 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857230001",
            "country_code": "US",
            "telephone_number": "520-792-1450 x4517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDEL",
        "first_name": "JAMESON",
        "middle_name": "TRAVIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-05-19",
        "last_updated": "2020-06-02",
        "certification_date": "2020-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "R75045",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "TX",
            "license": "S3024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARIZONA MEDICAL BOARD",
            "identifier": "R75045",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in El Paso, TX

Sources for this page

Verify at the official NPI Registry.