DR. JASON MAX MENDIVIL DPM
NPI 1790117893
Podiatrist - Foot & Ankle Surgery in El Paso, TX

Active since July 31, 2013PECOS EnrolledAccepts Medicare Assignment
11680 MONTANA AVE STE C200, EL PASO, TX 79936(915) 206-5044 Get Directions Write a Review

NPPES record last updated: February 27, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 17, 2018, Aug 7, 2017 (2 updates tracked since 2017).

About Dr. Jason Max Mendivil Dpm NPPES

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

DR. JASON MAX MENDIVIL DPM (NPI 1790117893) is an individual foot & ankle surgery provider in El Paso, Texas, licensed in Texas (2205) and active in the NPI registry since July 2013. He is enrolled in Medicare PECOS, is affiliated with The Hospitals Of Providence - Memorial Campus, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1790117893
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameDR. JASON MAX MENDIVILCredential: DPM
Location Address11680 MONTANA AVE STE C200El Paso, TX 79936-1461
Mailing Address12339 Chianti DrEl Paso, TX 79928-8644 · (915) 313-6300 · Fax (915) 521-2028
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 31, 2013
Last NPPES UpdateFebruary 27, 20262 updates tracked since enumeration
NPPES CertifiedFebruary 27, 2026
NPI 1790117893 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License Licensed in TX · 2205
Also ListedPodiatristTaxonomy 213E00000X · License 2205 (TX)
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
Also ListedProsthetic/Orthotic SupplierTaxonomy 335E00000X
11680 MONTANA AVE STE C200, El Paso, TX 79936

Secondary Practice Locations 4

Location 111621 Pellicano DrEl Paso, TX 79936-6242 · Phone (915) 206-5044
Location 24646 N Mesa StEl Paso, TX 79912-6104 · Phone (915) 313-6300 · Fax (915) 521-2028
Location 313472 Eastlake Blvd Ste AHorizon City, TX 79928-6320 · Phone (915) 313-6300
Location 4Southern Arizona Va Health Care System, 3601 S. 6th AvenueTucson, AZ 85723-0001 · Phone (520) 792-1450 ext. 6925

Other Identifiers 1

Medicaid358170402TX

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

Dr. Jason Max Mendivil Dpm 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 ID3577853845
PECOS Enrollment IDI20160531000324
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 11

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
229 services80 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
133 services16 patients
Removal of skin and tissue, 20.0 sq cm or less 11042
This procedure involves the surgical removal of skin and tissue, up to 20.0 square cm in size. It's often performed to treat conditions like skin cancer or to remove moles, warts, and other skin lesions. The area is numbed and the unwanted tissue is carefully cut out.
111 services22 patients
X-ray of foot, minimum of 3 views 73630
An X-ray of the foot, minimum of 3 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of the bones and tissues in your foot. This helps to identify fractures, infections, or other abnormalities. Multiple views ensure a comprehensive examination.
84 services57 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
64 services11 patients
Removal of fingernails or toenails, 6 or more nails 11721
This procedure involves the removal of six or more fingernails or toenails. It's typically done to treat severe nail infections, persistent pain, or abnormal nail growth. Local anesthesia is used to minimize discomfort. Healing usually takes a few weeks.
49 services22 patients

Hospital Affiliations CMS Care Compare 3

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

The Hospitals Of Providence - Memorial Campus

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450002
Location2001 N Oregon StEl Paso, TX 79902 · El Paso County
Emergency services Birthing friendly

Las Palmas Medical Center A Campus Of Lpds Healthc

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450107
Location1801 North Oregon StreetEl Paso, TX 79902 · El Paso County
Emergency services Birthing friendly

Sierra Medical Center

Acute Care Hospitals · El Paso, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450668
Location1625 Medical Center DrEl Paso, TX 79902 · El Paso County
Emergency services

Other Providers at the Same Location NPPES

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

Podiatrist (Foot & Ankle Surgery)
11680 MONTANA AVE STE C200
EL PASO, TX 79936

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 Jason Mendivil's NPI number?

The NPI number for Jason Mendivil is 1790117893. It was assigned to this individual provider in the NPPES registry on July 31, 2013.

Where is Jason Mendivil located?

Jason Mendivil practices at 11680 Montana Ave Ste C200, El Paso, TX 79936. The listed phone number is (915) 206-5044.

What is Jason Mendivil's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Jason Mendivil enrolled in Medicare?

Yes. Jason Mendivil 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 Jason Mendivil 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 6 other insurers list Jason Mendivil 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 Jason Mendivil affiliated with any hospitals?

According to CMS data, Jason Mendivil is affiliated with The Hospitals Of Providence - Memorial Campus, Las Palmas Medical Center A Campus Of Lpds Healthc and Sierra Medical Center.

When was this NPI record last updated?

The NPPES record for Jason Mendivil was last updated on February 27, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.