Siegfred Bacharo Mendoza

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

1094682 Issued in TX

Practice address

10007 Cypress Path
Missouri City, TX 77459-7347

Phone

(832) 607-1909

NPI assigned

Nov 29, 2022

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sugar Land Geriatrics and Medical AssociatesGroup PAC ID 6103870498, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

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.

• Sugar Land Geriatrics & Medical Associates

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1184653008

  Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Aman Ali Jafar, MD., PA

  • Internal Medicine Physician
  • Sugar Land, TX
  • NPI 1851596357
  Medicare reassignment NPD

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

{
    "created_epoch": "1669680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1992415129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10007 CYPRESS PATH",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10007 CYPRESS PATH",
            "city": "MISSOURI CITY",
            "state": "TX",
            "postal_code": "774597347",
            "telephone_number": "832-607-1909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDOZA",
        "first_name": "SIEGFRED",
        "middle_name": "BACHARO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-29",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "TX",
            "license": "1094682",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debbie A Melton-Myers, LPC
• Memorial Family for Hospice and Palliative Care, LLC
• Memorial Hermann
• Memorial Hermann Health System
• Christine Alexis Mendoza, COTA
• Eva Meng
• Maxwell Mensah
• Mary E Mercer, RPH
• Paul R. Mercier, ENP
• Katherine E Meserve, LCSW

• Nurse Practitioner in Missouri City, TX
• Providers in Missouri City, TX by specialty
• Nurse Practitioner in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2022; 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.