DR. JOHN ALBERT MALDONADO II MD
NPI 1124517412
Family Medicine in Fernley, NV

Q: What is John Maldonado's NPI number?

The NPI number for John Maldonado is 1124517412. It was assigned to this individual provider in the NPPES registry on May 2, 2018.

Q: What is John Maldonado's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for John Maldonado was last updated on July 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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 02, 2018PECOS EnrolledAccepts Medicare Assignment

1260 NEVADA PACIFIC BLVD, FERNLEY, NV 89408(775) 575-7171(775) 575-7227 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 6, 2021, May 2, 2018 (2 updates tracked since 2018).

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About Dr. John Albert Maldonado Ii Md NPPES

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

DR. JOHN ALBERT MALDONADO II MD (NPI 1124517412) is an individual family medicine provider in Fernley, Nevada, licensed in Nevada (20949) and active in the NPI registry since May 2018. He is enrolled in Medicare PECOS, is affiliated with Renown Regional Medical Center, and maintains a secondary practice location in El Paso.

NPPES Registry Identity

NPI1124517412

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JOHN ALBERT MALDONADO IICredential: MD

Location Address1260 NEVADA PACIFIC BLVDFernley, NV 89408-9871

Mailing Address1260 Nevada Pacific BlvdFernley, NV 89408-9871 · (775) 575-7171

Phone(775) 575-7171

Fax(775) 575-7227

Sole ProprietorNo

Medical School CMSOtherGraduated 2018

Enumeration DateMay 2, 2018

Last NPPES UpdateJuly 6, 20212 updates tracked since enumeration

NPPES CertifiedJuly 6, 2021

✔ NPI 1124517412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NV · 20949

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

1260 NEVADA PACIFIC BLVD, Fernley, NV 89408

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Secondary Practice Location 1

Location 19849 Kenworthy StEl Paso, TX 79924-4402 · Phone (915) 215-5550

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. John Albert Maldonado Ii Md 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 ID3072917749

PECOS Enrollment IDI20210803003335

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.

Hospital Affiliations CMS Care Compare 2

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

Renown Regional Medical Center

Acute Care Hospitals · Reno, NV

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number290001

Location1155 Mill StreetReno, NV 89502 · Washoe County

Emergency services Birthing friendly

Banner Churchill Community Hospital

Critical Access Hospitals · Fallon, NV

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number291313

Location801 East Williams AvenueFallon, NV 89406 · Churchill County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89408 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

$88.51 typical visit price

range $57.07 – $173.24

Typical copayment $22.12 (range $14.26 – $43.31)

Most-billed visit code 99203

Established Patient

$100.60 typical visit price

range $18.27 – $140.96

Typical copayment $25.15 (range $4.56 – $35.24)

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.

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

1 supplier11 claims11 services$22.11 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 7

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

KRISTIN ANNE LAXALT M.D.

Family Medicine