DR. MONICA A PRADO M.D.
NPI 1053606921
Family Medicine - Geriatric Medicine in Houston, TX

Q: What is Monica Prado's NPI number?

The NPI number for Monica Prado is 1053606921. It was assigned to this individual provider in the NPPES registry on June 17, 2011. The provider is also known as Monica A Melendez.

Q: What is Monica Prado's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Q: When was this NPI record last updated?

The NPPES record for Monica Prado was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.

Active since June 17, 2011PECOS EnrolledAccepts Medicare Assignment

84.05/100

CMS Quality Rating

1615 N MAIN ST, HOUSTON, TX 77009(713) 222-2272 Get Directions Write a Review

NPPES record last updated: February 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Feb 11, 2025, Nov 13, 2023, Aug 15, 2018 (3 updates tracked since 2018).

On this page

About Dr. Monica A Prado M.d. NPPES

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

DR. MONICA A PRADO M.D. (NPI 1053606921) is an individual geriatric medicine provider in Houston, Texas, licensed in Texas (Q2485) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Harris Health System, and is a graduate of Other (2006).

NPPES Registry Identity

NPI1053606921

Entity TypeIndividualFemale

Primary Taxonomy207QG0300X

Provider Legal NameDR. MONICA A PRADOCredential: M.D.

Location Address1615 N MAIN STHouston, TX 77009-8525

Mailing Address3701 Kirby DrHouston, TX 77098-3900 · (713) 222-2272

Phone(713) 222-2272

Sole ProprietorNo

Medical School CMSOtherGraduated 2006

Enumeration DateJune 17, 2011

Last NPPES UpdateFebruary 11, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 11, 2025

✔ NPI 1053606921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207QG0300X

License✔ Licensed in TX · Q2485

Definition

A family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital.

Also ListedFamily MedicineTaxonomy 207Q00000X · License Q2485 (TX)

1615 N MAIN ST, Houston, TX 77009

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Other Names 1

Former Name (1)Monica A Melendez

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Community Health Choice, Molina Healthcare.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. Monica A Prado 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 ID7113226390

PECOS Enrollment IDI20160422001615

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.

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.

59 services26 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.

15 services14 patients

Hospital Affiliations CMS Care Compare

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

Harris Health System

Acute Care Hospitals · Houston, TX

3/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number450289

Location2525 Holly HallHouston, TX 77054 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77009 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

$90.40 typical visit price

range $58.24 – $176.98

Typical copayment $22.60 (range $14.56 – $44.24)

Most-billed visit code 99203

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

84.05/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

84.49

Improvement Activities

Cost

54.39

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.

SITOTAW ABERA

Pharmacist (Ambulatory Care)

1615 N MAIN ST
HOUSTON, TX 77009

Harris County (713) 236-7125

JANIE ANDERS PA-C

Physician Assistant

1615 N MAIN ST
HOUSTON, TX 77009

Harris County (713) 222-2272

NASREEN ALSHARIFI ASAAD MD

Family Medicine

1615 N MAIN ST
HOUSTON, TX 77009

Harris County (713) 222-2272

HARRIS COUNTY HOSPITAL DISTRICT

Pharmacy (Clinic Pharmacy)

1615 N MAIN ST, PHARMACY
HOUSTON, TX 77009

Harris County (713) 842-4312

ALFREDO CISNEROS MD

Family Medicine

1615 N MAIN ST
HOUSTON, TX 77009

Harris County (713) 222-2272

SASHA ROBEYE

Internal Medicine

1615 N MAIN ST
HOUSTON, TX 77009

Harris County (713) 222-2272

EMILY WEEMS LCSW

Social Worker (Clinical)

1615 N MAIN ST
HOUSTON, TX 77009

Harris County (713) 775-3094

ADEEB MASOOD

Psychiatry & Neurology (Psychiatry)

1615 N MAIN ST
HOUSTON, TX 77009

Harris County (713) 222-2272

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 Monica Prado's NPI number?

The NPI number for Monica Prado is 1053606921. It was assigned to this individual provider in the NPPES registry on June 17, 2011. The provider is also known as Monica A Melendez.

Where is Monica Prado located?

Monica Prado practices at 1615 N Main St, Houston, TX 77009. The listed phone number is (713) 222-2272.

What is Monica Prado's specialty?

The primary specialty registered for this NPI is Family Medicine, specializing in Geriatric Medicine, with taxonomy code 207QG0300X.

Is Monica Prado enrolled in Medicare?

Yes. Monica 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 Monica Prado accept?

Health plans from Blue Cross and Blue Shield of Texas, Community Health Choice and Molina Healthcare list Monica 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 Monica Prado affiliated with any hospitals?

According to CMS data, Monica Prado is affiliated with Harris Health System.

When was this NPI record last updated?

The NPPES record for Monica Prado was last updated on February 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.