SIEGFRED BACHARO MENDOZA – Nurse Practitioner, NPI 1992415129

SIEGFRED BACHARO MENDOZA is a healthcare provider. based in Missouri city, Texas. specializing in NURSE PRACTITIONER. They hold a License No. 1094682 (TX). The NPI Number for SIEGFRED BACHARO MENDOZA is 1992415129

Main info

Male
Sole Proprietor
4 Years Of Experience
Accepts Medicare Assignment
Name
SIEGFRED BACHARO MENDOZA
NPI
1992415129
Phone
Not provided
Address
10007 CYPRESS PATH
Enumeration Date
29 November 2022
Last Update Date
29 November 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2814913225
Graduation Year
2022 (4 years ago)
PAC ID
4880052869
Group Practice PAC ID
6103870498
Professional Enrollment ID
I20250328002135
Address ID
TX774792591SU3531XSXXX501
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

22,209 NURSE PRACTITIONER in TX

Provider Addresses for SIEGFRED BACHARO MENDOZA

  • 10007 CYPRESS PATH

    MISSOURI CITY, TX 774597347

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $25.

Total Amount is formed as General ($25) + Research ($0) + Ownership ($0) = $25.

Last reported payment date: 2023-07-12 • Largest payer in this snapshot: Regeneron Healthcare Solutions, Inc. ($25).

Total Amount

$25

General + Research + Ownership

Payments

1

Total payment records

General Amount

$25

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250328002135INurse PractitionerTXTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 77459)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103870498View full group profile
NameSpecialtyState
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Nurse PractitionerTX
Internal MedicineTX

Reviews

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Frequently asked questions

How is SIEGFRED BACHARO MENDOZA identified in CMS data?
CMS-hosted NPPES data lists SIEGFRED BACHARO MENDOZA with NPI 1992415129.
Can I rely on SIEGFRED BACHARO MENDOZA being an active provider?
As of the registry snapshot, SIEGFRED BACHARO MENDOZA is marked active.
What taxonomy line describes SIEGFRED BACHARO MENDOZA?
For research purposes, treat SIEGFRED BACHARO MENDOZA as Nurse Practitioner in this dataset. Clinical services aligned with this taxonomy classification.
Where is SIEGFRED BACHARO MENDOZA based?
SIEGFRED BACHARO MENDOZA is tied to Missouri City, Texas in the data we show; additional addresses may exist on the full record.
Why does SIEGFRED BACHARO MENDOZA have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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