Individual provider Active NPI

Benjamin Mendez, M.D.

  • Family Medicine Physician
  • Dallas, TX
National Provider Identifier
1992184626
Registry record updated Jul 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R0450 Issued in TX
Practice address
7716 Lake June Rd
Dallas, TX 75217-1650
Phone
(214) 398-8801
Fax
(214) 439-8888
NPI assigned
May 27, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R0450 TX Primary

Addresses

Primary practice location

7716 Lake June Rd
Dallas, TX 75217-1650

Mailing address

7716 Lake June Rd
Dallas, TX 75217-1650
Phone (214) 398-8801

Other practice location 1

605 S Conroe Medical Dr
Conroe, TX 77304-4722
Phone (936) 539-4004

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
I20180730002821 TX Practitioner - Family Practice 5890091508 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Group PAGroup PAC ID 4880657386, 666 clinicians

Practice addresses (Care Compare)

7708 Lake June Rd
Wellmed at Lake June
Dallas, TX 75217-1650
Phone (214) 398-8801

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wellmed Medical Group, P.a. Family Medicine CurrentSince Jun 7, 2021 Accepting new patients
Medical Clinic of North Texas, PLLC Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Wellmed Medical Group, PA Family Medicine CurrentSince Jun 7, 2021 Accepting new patients
Medical Clinic of North Texas PLLC CurrentSince Dec 1, 2024 Accepting new patients

Locations

811 W Interstate 20
Unit G22
Arlington, TX 76017
Phone (817) 807-9060

1401 W Jefferson Blvd
Dallas, TX 75208
Phone (214) 941-9200

2121 S Buckner Blvd
Ste 100
Dallas, TX 75227
Phone (214) 381-1187

7708 Lake June Rd
Dallas, TX 75217
Phone (214) 398-8801

3310 Live Oak St
Ste 30
Dallas, TX 75204
Phone (972) 942-3410

7716 Lake June Rd
Dallas, TX 75217
Phone (214) 398-8801

900 Airport Fwy
Ste 158
Hurst, TX 76054
Phone (817) 514-4000

6157 NW Loop 410
Ste 124
San Antonio, TX 78238
Phone (210) 523-1411

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Interoperability endpoints

  • Direct secure messaging: benjamin.mendez@wellmed.eclinicaldirectplus.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 4

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": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625184000000",
    "number": "1992184626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7716 LAKE JUNE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752171650",
            "telephone_number": "214-398-8801",
            "fax_number": "214-439-8888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7716 LAKE JUNE RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752171650",
            "telephone_number": "214-398-8801",
            "fax_number": "214-439-8888"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 S Conroe Medical Dr",
            "address_purpose": "LOCATION",
            "city": "Conroe",
            "state": "TX",
            "postal_code": "773044722",
            "country_code": "US",
            "telephone_number": "936-539-4004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MENDEZ",
        "first_name": "BENJAMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-05-27",
        "last_updated": "2021-07-02",
        "certification_date": "2021-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R0450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.