Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. OMAR MENDOZA M.D.
NPI 1619977261
Emergency Medicine in Nogales, AZ

Q: What is Omar Mendoza's NPI number?

The NPI number for Omar Mendoza is 1619977261. It was assigned to this individual provider in the NPPES registry on July 26, 2005.

Q: What is Omar Mendoza's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Q: When was this NPI record last updated?

The NPPES record for Omar Mendoza was last updated on July 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 days 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 July 26, 2005PECOS Enrolled

1171 W TARGET RANGE RD, NOGALES, AZ 85621(520) 285-8020 Get Directions Write a Review

NPPES record last updated: July 23, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 23, 2026, Dec 3, 2024 (2 updates tracked since 2024).

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About Dr. Omar Mendoza M.d. NPPES

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

DR. OMAR MENDOZA M.D. (NPI 1619977261) is an individual emergency medicine provider in Nogales, Arizona, licensed in Texas (L3015) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1619977261

Entity TypeIndividualMale

Primary Taxonomy207P00000X

Provider Legal NameDR. OMAR MENDOZACredential: M.D.

Location Address1171 W TARGET RANGE RDNogales, AZ 85621-2415

Mailing Address4636 Caples CirEl Paso, TX 79903-1511 · (915) 881-4961

Phone(520) 285-8020

Sole ProprietorNo

Medical School CMSOtherGraduated 1999

Enumeration DateJuly 26, 2005

Last NPPES UpdateJuly 23, 20262 updates tracked since enumeration

NPPES CertifiedJuly 23, 2026

✔ NPI 1619977261 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207P00000X

Licenses✔ Licensed in TX · L3015✔ Licensed in AZ · 33157✔ Licensed in CA · 204682

Definition

An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.

1171 W TARGET RANGE RD, Nogales, AZ 85621

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Other Identifiers 1

Medicaid33157AZ

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Arizona, Inc., Blue Cross and Blue Shield of Texas, Oscar Insurance Company.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

Dr. Omar Mendoza M.d. 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 ID8325019839

PECOS Enrollment IDI20250916003376

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.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

20 services20 patients

Emergency department visit with moderate level of medical decision making 99284

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

17 services17 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85621 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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.

DR. PATRICK HUGH MULLETT MD

Emergency Medicine