Active NPI
Michelle Mendoza, M.D.
- Internal Medicine Physician
- El Paso, TX
National Provider Identifier
1962468298
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- L9360
- Practice address
- 1721 N Lee Trevino Dr Ste 300
El Paso, TX 79936-4563 - Phone
- (915) 590-9424
- Fax
- (915) 590-9044
- NPI assigned
- Apr 25, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | L9360 | TX | Primary |
Addresses
Primary practice location
1721 N Lee Trevino Dr Ste 300
El Paso, TX 79936-4563
Mailing address
1721 N Lee Trevino Dr Ste 300
El Paso, TX 79936-4563
Phone (915) 590-9424
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T0135301 | Other | TX | DPS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Oct 2, 2025 through Oct 2, 2027
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Internists of Austin, P.a. | Past | Accepting new patients |
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.
-
- Specialist
- Austin, TX
- NPI 1811922461
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145923200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1962468298",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1721 N LEE TREVINO DR STE 300",
"city": "EL PASO",
"state": "TX",
"postal_code": "799364563",
"telephone_number": "915-590-9424",
"fax_number": "915-590-9044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1721 N LEE TREVINO DR STE 300",
"city": "EL PASO",
"state": "TX",
"postal_code": "799364563",
"telephone_number": "915-590-9424",
"fax_number": "915-590-9044"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MENDOZA",
"first_name": "MICHELLE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-25",
"last_updated": "2023-03-07",
"certification_date": "2020-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "L9360",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DPS",
"identifier": "T0135301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.