Jason Max Mendivil, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

2205 Issued in TX

Practice address

11680 Montana Ave Ste C200
El Paso, TX 79936-1461

Phone

(915) 206-5044

NPI assigned

Jul 31, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 4

Addresses

Other identifiers 1

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

BHS Physicians Network, IncGroup PAC ID 7315019593, 702 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• The Hospitals of Providence - Memorial Campus Hospital, El Paso, TX, CCN 450002
• Las Palmas Medical Center a Campus of LPDS Healthc Hospital, El Paso, TX, CCN 450107
• Sierra Medical Center Hospital, El Paso, TX, CCN 450668

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jason.mendivil.1@1438.direct.athenahealth.com

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.

• BHS Physicians Network, Inc

  • Family Medicine Physician
  • San Antonio, TX
  • NPI 1598958431
  Medicare reassignment Care Compare group NPD
• Mendivil Clinic for Foot & Ankle

  • Foot & Ankle Surgery Podiatrist
  • El Paso, TX
  • NPI 1396524054
  Medicare reassignment NPD Authorized official
• O Meara Rosado DPM PLLC

  • Foot & Ankle Surgery Podiatrist
  • El Paso, TX
  • NPI 1619215365
  Medicare reassignment NPD
• Post Acute Specialists of Texas PA

  • Geriatric Medicine (Family Medicine) Physician
  • Austin, TX
  • NPI 1942859350

  Podiatrist

  Medicare reassignment NPD
• BHS Physicians Network, Inc

  • Durable Medical Equipment & Medical Supplies
  • Boerne, TX
  • NPI 1730079286
  NPD
• O'Meara Rosado, DPM PLLC

  • Foot & Ankle Surgery Podiatrist
  • El Paso, TX
  • NPI 1861829459
  NPD
• BHS Specialty Network Inc

  • Cardiovascular Disease Physician
  • San Antonio, TX
  • NPI 1831492651
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• El Paso Healthcare System LTD

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1770536120
  Care Compare affiliation
• Tenet Hospitals Limited

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1215969787
  Care Compare affiliation
• Tenet Hospitals Limited

  • General Acute Care Hospital
  • El Paso, TX
  • NPI 1700801909
  Care Compare affiliation
• Tenet Hospitals Limited

  • Rehabilitation Hospital Unit
  • El Paso, TX
  • NPI 1780927277
  Care Compare affiliation

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

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772150400000",
    "number": "1790117893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12339 CHIANTI DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799288644",
            "telephone_number": "915-313-6300",
            "fax_number": "915-521-2028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11680 MONTANA AVE STE C200",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799361461",
            "telephone_number": "915-206-5044"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11621 Pellicano Dr",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799366242",
            "country_code": "US",
            "telephone_number": "915-206-5044",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4646 N Mesa St",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799126104",
            "country_code": "US",
            "telephone_number": "915-313-6300",
            "fax_number": "915-521-2028",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13472 Eastlake Blvd Ste A",
            "address_purpose": "LOCATION",
            "city": "Horizon City",
            "state": "TX",
            "postal_code": "799286320",
            "country_code": "US",
            "telephone_number": "915-313-6300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Southern Arizona Va Health Care System",
            "address_2": "3601 S. 6th Avenue",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857230001",
            "country_code": "US",
            "telephone_number": "520-792-1450 x6925",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDIVIL",
        "first_name": "JASON",
        "middle_name": "MAX",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-31",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "2205",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "TX",
            "license": "2205",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "358170402",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Larry Mendiola, LPC-A
• Lluvia Joahnna Mendiola, SLP
• Luis Garcia Mendiola Jr., M.D
• Raquel Mendiola, RD
• Mendivil Clinic for Foot & Ankle
• Rosa Mendivil, PTA
• Mendoza Family Dentistry PLLC
• Hector Manuel Mendoza Garcia
• Jorge Luis Mendoza Martinez, REGISTERED NURSE
• Suzanne Mendoza-Luna, M.S. CCC-SLP

• Foot & Ankle Surgery Podiatrist in El Paso, TX
• Providers in El Paso, TX by specialty
• Foot & Ankle Surgery Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.