DR. ALBERT TOLEDO DNP, FNP-C
NPI 1053769398
Nurse Practitioner - Family in Houston, TX

Q: What is Albert Toledo's NPI number?

The NPI number for Albert Toledo is 1053769398. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Q: What is Albert Toledo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Albert Toledo was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since May 26, 2016PECOS EnrolledAccepts Medicare Assignment

194 UVALDE RD, HOUSTON, TX 77015(713) 453-2121(713) 453-2521 Get Directions Write a Review

NPPES record last updated: August 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Aug 17, 2023, Sep 18, 2019, Aug 16, 2019 and 1 more (4 updates tracked since 2016).

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About Dr. Albert Toledo Dnp, Fnp-c NPPES

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

DR. ALBERT TOLEDO DNP, FNP-C (NPI 1053769398) is an individual family provider in Houston, Texas, licensed in Texas (AP142751) and active in the NPI registry since May 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Miami Lakes, and is a graduate of Other (2019).

NPPES Registry Identity

NPI1053769398

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameDR. ALBERT TOLEDOCredential: DNP, FNP-C

Location Address194 UVALDE RDHouston, TX 77015-1506

Mailing Address194 Uvalde RdHouston, TX 77015-1506 · (713) 453-2121

Phone(713) 453-2121

Fax(713) 453-2521

Sole ProprietorYes

Medical School CMSOtherGraduated 2019

Enumeration DateMay 26, 2016

Last NPPES UpdateAugust 17, 20234 updates tracked since enumeration

NPPES CertifiedAugust 17, 2023

✔ NPI 1053769398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in TX · AP142751

Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X

194 UVALDE RD, Houston, TX 77015

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Secondary Practice Location 1

Location 16361 Cow Pen Rd, APT T204Miami Lakes, FL 33014-2238 · Phone (713) 453-2121

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, Imperial Insurance Companies, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Albert Toledo Dnp, Fnp-c 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 ID1951633502

PECOS Enrollment IDI20191031000043

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 Reassignments

Medicare enrollment records show Albert Toledo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Max Hope Helps, Inc.

15 mi

Family

212 CHARLES ST
Humble, TX 77338

Reassigned Medicare billing, Texas enrollment
4 clinicians in this Medicare group

NPI 1104281096 (281) 973-9510

Medella Urgent Care, PLLC

27 mi

Urgent Care

10130 LOUETTA RD STE L
Houston, TX 77070

Reassigned Medicare billing, Texas enrollment
12 clinicians in this Medicare group

NPI 1255785580 (346) 808-3670

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 77015 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.

Other Providers at the Same Location NPPES 2

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

MR. MAXIMO E HERNANDEZ FNP-C

Nurse Practitioner (Family)

194 UVALDE RD
HOUSTON, TX 77015

Harris County (713) 453-2121

NELVIS SANCHEZ VELAZQUEZ FNP-C

Nurse Practitioner (Family)

194 UVALDE RD
HOUSTON, TX 77015

Harris County (713) 453-2121

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 Albert Toledo's NPI number?

The NPI number for Albert Toledo is 1053769398. It was assigned to this individual provider in the NPPES registry on May 26, 2016.

Where is Albert Toledo located?

Albert Toledo practices at 194 Uvalde Rd, Houston, TX 77015. The listed phone number is (713) 453-2121.

What is Albert Toledo's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Albert Toledo enrolled in Medicare?

Yes. Albert Toledo 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.

Which organizations bill Medicare for Albert Toledo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Albert Toledo reassigns Medicare benefits to 2 organizations: Max Hope Helps, Inc. (Humble, TX) and Medella Urgent Care, PLLC (Houston, TX). Each 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 Albert Toledo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Albert Toledo accept?

Health plans from Blue Cross and Blue Shield of Texas and Imperial Insurance Companies, Inc. list Albert Toledo 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.

When was this NPI record last updated?

The NPPES record for Albert Toledo was last updated on August 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.