Individual provider Active NPI

Jorge Luis Rodriguez Mendoza, FNP-C, RN, BSN

  • Family Nurse Practitioner
  • Houston, TX
National Provider Identifier
1720813579
Registry record updated Sep 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1066537 Issued in TX
Practice address
232 E Crosstimbers St Ste E
Houston, TX 77022-4499
Phone
(832) 345-0232
NPI assigned
Sep 3, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 1066537 TX
Family Nurse Practitioner 363LF0000X 1066537 TX Primary

Addresses

Primary practice location

232 E Crosstimbers St Ste E
Houston, TX 77022-4499

Mailing address

11722 Champions Grove LN
Houston, TX 77066-3355
Phone (832) 345-0232

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260316003835 TX Practitioner - Nurse Practitioner 8729514344 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

11722 Champions Grove LN
Houston, TX 77066-3355

232 E Crosstimbers St
Suite E
Houston, TX 77022-4499

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Registered Nurse

State licenses

LicenseStateTypeSpecialty
1066537TXMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Medrm Multicare Inc Family CurrentSince Feb 1, 2026 Accepting new patients

Locations

232 E Crosstimbers St
Ste E
Houston, TX 77022
Phone (713) 695-7600

20221 Clay Rd
Ste C
Katy, TX 77449
Phone (281) 676-4570

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1725321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725321600000",
    "number": "1720813579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11722 CHAMPIONS GROVE LN",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770663355",
            "telephone_number": "832-345-0232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "232 E CROSSTIMBERS ST STE E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770224499",
            "telephone_number": "832-345-0232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ MENDOZA",
        "first_name": "JORGE",
        "middle_name": "LUIS",
        "credential": "FNP-C, RN, BSN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-09-03",
        "last_updated": "2024-09-03",
        "certification_date": "2024-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "TX",
            "license": "1066537",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1066537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.