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DR. MADONNA M MAMEROW PHD, RDN, LD
NPI 1104488220
Dietitian, Registered in League City, TX

Active since June 28, 2019Accepts Medicare Assignment
2600 S SHORE BLVD STE 300, LEAGUE CITY, TX 77573(281) 436-9668(833) 259-9548 Get Directions Write a Review

NPPES record last updated: September 3, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 3, 2022, May 20, 2022, May 26, 2020 and 1 more (4 updates tracked since 2020).

About Dr. Madonna M Mamerow Phd, Rdn, Ld NPPES

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

DR. MADONNA M MAMEROW PHD, RDN, LD (NPI 1104488220) is an individual dietitian, registered in League City, Texas, licensed in Texas (DT86015) and active in the NPI registry since June 2019. She is a graduate of Other (2008).

NPPES Registry Identity

NPI1104488220
Entity TypeIndividualFemale
Primary Taxonomy133V00000X
Provider Legal NameDR. MADONNA M MAMEROWCredential: PHD, RDN, LD
Location Address2600 S SHORE BLVD STE 300League City, TX 77573-2944
Mailing AddressPo Box 433Galveston, TX 77553-0433 · (281) 436-9668 · Fax (833) 259-9548
Phone(281) 436-9668
Fax(833) 259-9548
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateJune 28, 2019
Last NPPES UpdateSeptember 3, 20224 updates tracked since enumeration
NPPES CertifiedSeptember 3, 2022
✔ NPI 1104488220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, RegisteredDietary & Nutritional Service Providers
Taxonomy Code133V00000X
License✔ Licensed in TX · DT86015
Definition
A Registered Dietitian (RD)/Registered Dietitian Nutritionist (RDN) is an individual uniquely trained in the science of nutrition and practice of dietetics to design and provide medical nutrition therapy (MNT) and other evidence-based applications of the Nutrition Care Process (NCP) that exemplify the profession's systematic approach to providing high quality nutrition care. Registered dietitians provide MNT for the purpose of disease prevention or management, or to treat or rehabilitate an illness, injury, or condition, with the use of specific, indicated physical and cognitive nutrition care services comprised of one or more of the following aspects of the NCP: nutrition assessment/reassessment, nutrition diagnosis, nutrition intervention (e.g., nutrition counseling, therapeutic diet ordering, and nutrition education) and nutrition monitoring and evaluation.
2600 S SHORE BLVD STE 300, League City, TX 77573
Open in Google Maps ↗

Other Names 1

Professional Name (2)Dr. Donna M Victor Phd, Rd, Ld

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, UnitedHealthcare.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. Madonna M Mamerow Phd, Rdn, Ld 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 ID2466886833
PECOS Enrollment IDI20191218002775

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77573 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
$0.00 typical visit price
range $57.19 – $173.07
Typical copayment $0.00 (range $14.29 – $43.26)
Most-billed visit code NA
Established Patient
$100.90 typical visit price
range $18.45 – $141.36
Typical copayment $25.22 (range $4.61 – $35.34)
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 15

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

VICTOR NUTRITION, LLC
Dietitian, Registered
2600 S SHORE BLVD STE 300
LEAGUE CITY, TX 77573
Galveston County (281) 436-9668
LENUS HEALTHCARE
In Home Supportive Care
2600 S SHORE BLVD STE 300
LEAGUE CITY, TX 77573
Galveston County (281) 668-9142
ANNA JEANNE DYER M.A., LPC
Counselor (Mental Health)
2600 S SHORE BLVD STE 300
LEAGUE CITY, TX 77573
Galveston County (469) 431-2794
MAHTAB MORADI LMFT
Marriage & Family Therapist
2600 S SHORE BLVD STE 300
LEAGUE CITY, TX 77573
Galveston County (832) 205-8658
SISTERS WITH AMBITION LLC
In Home Supportive Care
2600 S SHORE BLVD STE 300
LEAGUE CITY, TX 77573
Galveston County (404) 431-5645
DIVINE LIVING PERSONAL CARE LLC
In Home Supportive Care
2600 S SHORE BLVD STE 300
LEAGUE CITY, TX 77573
Galveston County (800) 613-0781
FELICITY PALLIATIVE & HOSPICE CARE LLC.
Hospice Care, Community Based
2600 S SHORE BLVD STE 300
LEAGUE CITY, TX 77573
Galveston County (346) 332-5811
THE CENTER FOR COUPLES & FAMILIES
Community/Behavioral Health
2600 S SHORE BLVD STE 300
LEAGUE CITY, TX 77573
Galveston County (281) 317-7326

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 Madonna Mamerow's NPI number?

The NPI number for Madonna Mamerow is 1104488220. It was assigned to this individual provider in the NPPES registry on June 28, 2019. The provider is also known as Dr. Donna M Victor Phd, Rd, Ld.

Where is Madonna Mamerow located?

Madonna Mamerow practices at 2600 S Shore Blvd Ste 300, League City, TX 77573. The listed phone number is (281) 436-9668.

What is Madonna Mamerow's specialty?

The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.

Is Madonna Mamerow enrolled in Medicare?

Yes. Madonna Mamerow 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 Madonna Mamerow accept?

Health plans from Blue Cross and Blue Shield of Texas and UnitedHealthcare list Madonna Mamerow 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 Madonna Mamerow was last updated on September 3, 2022. 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.