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JOSE KIAMCO MENDOZA JR. M.D.
NPI 1891796058
Internal Medicine in Jackson, LA

Active since August 09, 2005PECOS Enrolled
4502 HIGHWAY 951, JACKSON, LA 70748(225) 634-4820(225) 634-0489 Get Directions Write a Review

NPPES record last updated: November 2, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 2, 2023, Apr 23, 2021 (2 updates tracked since 2021).

About Jose Kiamco Mendoza Jr. M.d. NPPES

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

JOSE KIAMCO MENDOZA JR. M.D. (NPI 1891796058) is an individual internal medicine provider in Jackson, Louisiana, licensed in Louisiana (023159) and active in the NPI registry since August 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1891796058
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOSE KIAMCO MENDOZA JR.Credential: M.D.
Location Address4502 HIGHWAY 951Jackson, LA 70748-5103
Mailing Address4502 Highway 951Jackson, LA 70748-5103 · (225) 634-4820 · Fax (225) 634-0489
Phone(225) 634-4820
Fax(225) 634-0489
Sole ProprietorNo
Enumeration DateAugust 9, 2005
Last NPPES UpdateNovember 2, 20232 updates tracked since enumeration
NPPES CertifiedNovember 2, 2023
✔ NPI 1891796058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in LA · 023159
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedHospitalistTaxonomy 208M00000X · License 023159 (LA)
4502 HIGHWAY 951, Jackson, LA 70748
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Other Identifiers 3

Medicaid1497371LA
Medicaid0542328MS
OtherP00020217LA · Rail Road Medicare

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jose Kiamco Mendoza Jr. M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Jose Mendoza reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

East Louisiana State Hospital
0.2 mi
Psychiatric Hospital
4502 HIGHWAY 951
Jackson, LA 70748
  • Reassigned Medicare billing, Louisiana enrollment
  • 26 clinicians in this Medicare group
NPI 1043206543 (225) 634-0533

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 70748 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
$124.60 typical visit price
range $53.43 – $164.73
Typical copayment $31.15 (range $13.35 – $41.18)
Most-billed visit code 99204
Established Patient
$95.09 typical visit price
range $16.64 – $133.62
Typical copayment $23.77 (range $4.16 – $33.40)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$56.94 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 11

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

EAST LOUISIANA STATE HOSPITAL
Psychiatric Hospital
4502 HIGHWAY 951
JACKSON, LA 70748
East Feliciana Parish (225) 634-0533
LOTACHA IRVIN-HAYES GSW
Social Worker
4502 HIGHWAY 951
JACKSON, LA 70748
East Feliciana Parish (225) 634-0224
DR. PHUONG NGOC HUYNH MD
General Practice
4502 HIGHWAY 951, EASTERN LA MENTAL HEALTH SYSTEM
JACKSON, LA 70748
East Feliciana Parish (225) 634-0224
AMANDA HIDALGO LCSW-BACS
Social Worker (Clinical)
4502 HIGHWAY 951
JACKSON, LA 70748
East Feliciana Parish (225) 937-7426
DR. GABRIEL I ONOR SR. MD
Internal Medicine
4502 HIGHWAY 951, EASTERN LA MENTAL HEALTH SYSTEM
JACKSON, LA 70748
East Feliciana Parish (225) 634-0224
MAKAYLA GANES
Registered Nurse (Psychiatric/Mental Health, Adult)
4502 HIGHWAY 951
JACKSON, LA 70748
East Feliciana Parish (225) 634-0100
DR. ALAN RAY PEREGO M.D.
Internal Medicine
4502 HIGHWAY 951
JACKSON, LA 70748
East Feliciana Parish (225) 634-0341
KALYN TEASETT TRS
Recreation Therapist
4502 HIGHWAY 951
JACKSON, LA 70748
East Feliciana Parish (225) 634-0216

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 Jose Mendoza's NPI number?

The NPI number for Jose Mendoza is 1891796058. It was assigned to this individual provider in the NPPES registry on August 9, 2005.

Where is Jose Mendoza located?

Jose Mendoza practices at 4502 Highway 951, Jackson, LA 70748. The listed phone number is (225) 634-4820.

What is Jose Mendoza's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jose Mendoza enrolled in Medicare?

Yes. Jose Mendoza is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jose Mendoza's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose Mendoza reassigns Medicare benefits to East Louisiana State Hospital (Jackson, LA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jose Mendoza's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jose Mendoza was last updated on November 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.