DR. KRIS NICOLE DE GUZMAN MENDOZA MD
NPI 1124519384
Pediatrics - Neonatal-Perinatal Medicine in El Paso, TX

Q: What is Kris Nicole Mendoza's NPI number?

The NPI number for Kris Nicole Mendoza is 1124519384. It was assigned to this individual provider in the NPPES registry on May 23, 2018.

Q: What is Kris Nicole Mendoza's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Active since May 23, 2018PECOS Enrolled

4801 ALBERTA AVE, EL PASO, TX 79905(915) 215-5700(915) 215-8872 Get Directions Write a Review

NPPES record last updated: July 10, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 10, 2024, Jun 5, 2024, May 23, 2018 (3 updates tracked since 2018).

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About Dr. Kris Nicole De Guzman Mendoza Md NPPES

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

DR. KRIS NICOLE DE GUZMAN MENDOZA MD (NPI 1124519384) is an individual neonatal-perinatal medicine provider in El Paso, Texas, licensed in Texas (V1191) and active in the NPI registry since May 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1124519384

Entity TypeIndividualFemale

Primary Taxonomy2080N0001X

Provider Legal NameDR. KRIS NICOLE DE GUZMAN MENDOZACredential: MD

Location Address4801 ALBERTA AVEEl Paso, TX 79905-2707

Mailing Address5130 Gateway Blvd EEl Paso, TX 79905-1608 · (915) 215-4480 · Fax (915) 215-5386

Phone(915) 215-5700

Fax(915) 215-8872

Sole ProprietorNo

Enumeration DateMay 23, 2018

Last NPPES UpdateJuly 10, 20243 updates tracked since enumeration

NPPES CertifiedJuly 10, 2024

✔ NPI 1124519384 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2080N0001X

License✔ Licensed in TX · V1191

Definition

A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.

Also ListedPediatricsTaxonomy 208000000X · License V1191 (TX)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

4801 ALBERTA AVE, El Paso, TX 79905

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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, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kris Nicole De Guzman Mendoza Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

JOSEPH JEFFREY MILLER

Nurse Practitioner (Family)