CESAR MENDOZA
NPI 1104779149
Physician Assistant in Round Rock, TX

Q: What is Cesar Mendoza's NPI number?

The NPI number for Cesar Mendoza is 1104779149. It was assigned to this individual provider in the NPPES registry on February 18, 2026.

Q: What is Cesar Mendoza's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Q: When was this NPI record last updated?

The NPPES record for Cesar Mendoza was last updated on August 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since February 18, 2026PECOS EnrolledAccepts Medicare Assignment

302 UNIVERSITY BLVD, ROUND ROCK, TX 78665(512) 509-0200 Get Directions Write a Review

NPPES record last updated: August 26, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 26, 2026, Aug 4, 2026, Apr 14, 2026 (3 updates tracked since 2026).

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About Cesar Mendoza NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CESAR MENDOZA (NPI 1104779149) is an individual physician assistant in Round Rock, Texas, licensed in Texas (PA20467) and active in the NPI registry since February 2026. He is enrolled in Medicare PECOS, is affiliated with Baylor Scott & White Medical Center - Round Rock, and is a graduate of Other (2026).

NPPES Registry Identity

NPI1104779149

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameCESAR MENDOZA

Location Address302 UNIVERSITY BLVDRound Rock, TX 78665-1032

Mailing AddressPo Box 844658Dallas, TX 75284-4658 · (800) 994-0371

Phone(512) 509-0200

Sole ProprietorYes

Medical School CMSOtherGraduated 2026

Enumeration DateFebruary 18, 2026

Last NPPES UpdateAugust 26, 20263 updates tracked since enumeration

NPPES CertifiedAugust 26, 2026

✔ NPI 1104779149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363A00000X

License✔ Licensed in TX · PA20467

Definition

A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.

302 UNIVERSITY BLVD, Round Rock, TX 78665

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Cesar Mendoza is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739652017

PECOS Enrollment IDI20260627000264

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baylor Scott & White Medical Center - Round Rock

Acute Care Hospitals · Round Rock, TX

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number670034

Location300 University BlvdRound Rock, TX 78664 · Williamson County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78665 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$84.92 typical visit price

range $54.84 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$68.55 typical visit price

range $17.52 – $136.11

Typical copayment $17.13 (range $4.38 – $34.02)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HIRUT NICODIMOS

Physician Assistant (Medical)