Joe Mendoza Jr., M.D.

Primary specialty

Emergency Medical Services (Emergency Medicine) PhysicianTaxonomy code 207PE0004X

License

F7535 Issued in TX

Practice address

5420 Kell Blvd
Wichita Falls, TX 76310-1610

Phone

(940) 692-5888

Fax

(940) 692-5888

NPI assigned

Dec 8, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Emergency Medicine

Education

Other, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Concord Medical Group of Texas PLLCGroup PAC ID 7810117223, 319 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kell West Regional Hospital Hospital, Wichita Falls, TX, CCN 450827
• Clay County Memorial Hospital Hospital, Henrietta, TX, CCN 451362

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as virtual group

Quality

0

Improvement activities

0

Cost

0

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  Medicare reassignment Care Compare group

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

• Kell West Regional Hospital LLC

  • General Acute Care Hospital
  • Wichita Falls, TX
  • NPI 1669480323
  Care Compare affiliation Name & address match
• County of Clay

  • Critical Access Hospital
  • Henrietta, TX
  • NPI 1437156361
  Care Compare affiliation
• County of Clay

  • Surgery Physician
  • Henrietta, TX
  • NPI 1639340748

  Hospital

  Care Compare affiliation
• County of Clay

  • Critical Access Hospital Clinic/Center
  • Henrietta, TX
  • NPI 1881175776
  Care Compare affiliation

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1260489600000",
    "number": "1871653253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1115",
            "city": "SEYMOUR",
            "state": "TX",
            "postal_code": "763801115",
            "telephone_number": "940-888-5802",
            "fax_number": "940-888-5802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5420 KELL BLVD",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763101610",
            "telephone_number": "940-692-5888",
            "fax_number": "940-692-5888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "JOE",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-08",
        "last_updated": "2009-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PE0004X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Emergency Medical Services",
            "state": "TX",
            "license": "F7535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Callie Sue Melton
• Shea Elizabeth Melton, SLP
• Jordan Glen Memmott, DO
• Rodrigo X Menchaca, MD
• Tessa Alexandra Menchaca, AUD
• Monica D Mendoza, LPC
• Cynia Donette Menzik, FNP
• Rutth Mercado, RBT
• Sergio Mercado Jr., M.D.
• Leo C Mercer, M.D.

• Emergency Medical Services (Emergency Medicine) Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Emergency Medical Services (Emergency Medicine) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2009; 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.