Individual provider Active NPI

Jose Americo Mendoza, M.D.

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Galveston, TX
National Provider Identifier
1699118307
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Internal Medicine) PhysicianTaxonomy code 207RH0002X
License
R0452 Issued in TX
Practice address
400 Harborside Dr Ste 105-107
Galveston, TX 77555-0001
Phone
(409) 747-1883
NPI assigned
Apr 11, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R0452 TX
Hospice and Palliative Medicine (Internal Medicine) Physician 207RH0002X R0452 TX Primary

Addresses

Primary practice location

400 Harborside Dr Ste 105-107
Galveston, TX 77555-0001

Mailing address

PO Box 650859
Dept 710
Dallas, TX 75265-6509
Phone (409) 747-6240

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
I20180713000280 TX Practitioner - Hospice/Palliative CarePractitioner - Family PracticePractitioner - Internal Medicine 4385911759 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hospice/Palliative CareAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Val Verde Hospital CorporationGroup PAC ID 0941112023, 39 clinicians

Practice addresses (Care Compare)

1200 N Bedell Ave
Val Verde Ambulatory
Del Rio, TX 78840-4491
Phone (830) 768-9207

3809 Veterans Blvd
Del Rio, TX 78840-2860
Phone (830) 703-8555

801 N Bedell Ave
Del Rio, TX 78840-4112

801 N Bedell Ave
Del Rio, TX 78840-4185

Hospital & facility affiliations

  • American Medical Home Health Services - San Antonio LLC Home health agency, San Antonio, TX, CCN 457907
  • Resource Home Health Services Home health agency, Houston, TX, CCN 679098
  • Val Verde Regional Medical Center Hospital, Del Rio, TX, CCN 450154

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R0452TXMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Val Verde Hospital Corporation Current Accepting new patients
Val Verde Hospital Corporation Hospice and Palliative Medicine CurrentSince Jun 1, 2018 Accepting new patients
Utmb Faculty Group Practice CurrentSince Nov 2, 2020 Accepting new patients
Val Verde Hospital Corporation Family Medicine CurrentSince Jun 1, 2018 Accepting new patients
Val Verde Hospital Corporation Current Accepting new patients

Locations

1200 N Bedell Ave
Ste A
Del Rio, TX 78840
Phone (830) 774-2505

801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 703-1702

1801 N Bedell Ave
Del Rio, TX 78840
Phone (830) 768-9200

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

511 Park Grove Dr
Katy, TX 77450
Phone (281) 398-7001

2660 Gulf Fwy S
League City, TX 77573
Phone (832) 505-2100

Organizations & group practices 5

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": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1699118307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 650859",
            "address_2": "DEPT 710",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752656509",
            "telephone_number": "409-747-6240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 HARBORSIDE DR STE 105-107",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775550001",
            "telephone_number": "409-747-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "JOSE",
        "middle_name": "AMERICO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-11",
        "last_updated": "2023-02-01",
        "certification_date": "2020-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R0452",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "R0452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Galveston, TX

Sources for this page

Verify at the official NPI Registry.