RAFAEL JACINTO MENDOZA-PRADO MD
NPI 1619429404
Family Medicine in Mcallen, TX

Active since October 27, 2016PECOS EnrolledAccepts Medicare Assignment
205 E TORONTO AVE, MCALLEN, TX 78503(956) 687-6155 Get Directions Write a Review

NPPES record last updated: October 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 2, 2019, Oct 27, 2016 (2 updates tracked since 2016).

About Rafael Jacinto Mendoza-prado Md NPPES

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

RAFAEL JACINTO MENDOZA-PRADO MD (NPI 1619429404) is an individual family medicine provider in Mcallen, Texas, licensed in Texas (V3910) and active in the NPI registry since October 2016. He is enrolled in Medicare PECOS, is affiliated with South Texas Health System, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1619429404
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameRAFAEL JACINTO MENDOZA-PRADOCredential: MD
Location Address205 E TORONTO AVEMcallen, TX 78503-1209
Mailing Address205 E Toronto AveMcallen, TX 78503-1209 · (956) 687-6155
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateOctober 27, 2016
Last NPPES UpdateOctober 1, 20252 updates tracked since enumeration
NPPES CertifiedOctober 1, 2025
NPI 1619429404 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in TX · V3910
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedPhysician Assistant · SurgicalTaxonomy 363AS0400X · License SA000718 (TX)
205 E TORONTO AVE, Mcallen, TX 78503

Other Identifiers 1

OtherSA00718TX · Texas Medkcal Board License

Accepted 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

Rafael Jacinto Mendoza-prado Md 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 ID2466954581
PECOS Enrollment IDI20250908002141
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.

South Texas Health System

Acute Care Hospitals · Edinburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number450119
Location1102 W Trenton RoadEdinburg, TX 78539 · Hidalgo County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78503 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
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
Most-billed visit code 99214
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.

Psychologist (Clinical)
205 E TORONTO AVE
MCALLEN, TX 78503
Internal Medicine (Medical Oncology)
205 E TORONTO AVE
MCALLEN, TX 78503
Family Medicine
205 E TORONTO AVE
MCALLEN, TX 78503
Family Medicine
205 E TORONTO AVE
MCALLEN, TX 78503
Student in an Organized Health Care Education/Training Program
205 E TORONTO AVE
MCALLEN, TX 78503
Student in an Organized Health Care Education/Training Program
205 E TORONTO AVE
MCALLEN, TX 78503
Family Medicine
205 E TORONTO AVE
MCALLEN, TX 78503
Student in an Organized Health Care Education/Training Program
205 E TORONTO AVE
MCALLEN, TX 78503

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rafael Mendoza-prado's NPI number?

The NPI number for Rafael Mendoza-prado is 1619429404. It was assigned to this individual provider in the NPPES registry on October 27, 2016.

Where is Rafael Mendoza-prado located?

Rafael Mendoza-prado practices at 205 E Toronto Ave, Mcallen, TX 78503. The listed phone number is (956) 687-6155.

What is Rafael Mendoza-prado's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Rafael Mendoza-prado enrolled in Medicare?

Yes. Rafael Mendoza-prado is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Rafael Mendoza-prado accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 2 other insurers list Rafael Mendoza-prado as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Rafael Mendoza-prado affiliated with any hospitals?

According to CMS data, Rafael Mendoza-prado is affiliated with South Texas Health System.

When was this NPI record last updated?

The NPPES record for Rafael Mendoza-prado was last updated on October 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.