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ROSA M ESTRADA-Y-MARTIN M.D.
NPI 1154354298
Internal Medicine - Pulmonary Disease in Houston, TX

Active since July 09, 2006PECOS EnrolledAccepts Medicare Assignment
82.38/100
CMS Quality Rating
6410 FANNIN ST, 600, HOUSTON, TX 77030(832) 325-7222 Get Directions Write a Review

NPPES record last updated: December 3, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rosa M Estrada-y-martin M.d. NPPES

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

ROSA M ESTRADA-Y-MARTIN M.D. (NPI 1154354298) is an individual pulmonary disease provider in Houston, Texas, licensed in Texas (L0157) and active in the NPI registry since July 2006. She is enrolled in Medicare PECOS, is affiliated with Memorial Hermann - Texas Medical Center, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1154354298
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameROSA M ESTRADA-Y-MARTINCredential: M.D.
Location Address6410 FANNIN ST, 600Houston, TX 77030-3000
Mailing AddressPo Box 201088Houston, TX 77216-1088 · (713) 500-3500 · Fax (713) 512-2247
Phone(832) 325-7222
Sole ProprietorNo
Medical School CMSOtherGraduated 1985
Enumeration DateJuly 9, 2006
Last NPPES UpdateDecember 3, 2007
✔ NPI 1154354298 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in TX · L0157
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License L0157 (TX)
6410 FANNIN ST, Houston, TX 77030
Open in Google Maps ↗

Other Identifiers 3

Other8Z0736TX · Bcbs
Medicare UPING54182TX
Medicare PIN8192M0TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.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

Rosa M Estrada-y-martin 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 ID749321362
PECOS Enrollment IDI20100105000317
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 6

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.
35 services27 patients
Test for exercise-induced lung stress 94618
An exercise-induced lung stress test assesses how your lungs respond to physical activity. During the test, you'll exercise on a treadmill or stationary bike while your heart rate, breathing, blood pressure, and oxygen levels are monitored. This helps identify any abnormal lung responses to exercise.
22 services22 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
21 services21 patients
Test to determine lung volumes using sensors 94726
This test, called spirometry, measures lung capacity using sensors. You breathe into a mouthpiece attached to a device that records the amount and rate of air you inhale and exhale. It helps diagnose and monitor lung conditions.
19 services19 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
17 services17 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
13 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Memorial Hermann - Texas Medical Center

Acute Care Hospitals · Houston, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450068
Location6411 FanninHouston, TX 77030 · Harris County
Emergency services Birthing friendly

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 77030 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
$134.06 typical visit price
range $58.24 – $176.98
Typical copayment $33.51 (range $14.56 – $44.24)
Most-billed visit code 99204
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.

82.38/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.23
Promoting Interoperability100
Improvement Activities40
Cost58.5

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims15 services$67.06 avg. paid by Medicare
Portable oxygen concentrator, rental E1392
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$31.15 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 20

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

EUGENIO A AGUILAR III MD PA
Clinic/Center (Ambulatory Surgical)
6410 FANNIN ST, SUITE 927
HOUSTON, TX 77030
Harris County (713) 797-0085
BELANIE G PEAVY ACNP
Nurse Practitioner (Acute Care)
6410 FANNIN ST, SUITE 1400
HOUSTON, TX 77030
Harris County (832) 325-7125
DR. NIVEDITA THAKUR M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
6410 FANNIN ST, UTPB 732
HOUSTON, TX 77030
Harris County (713) 500-7113
AMBER CHEN-GOODSPEED
Student in an Organized Health Care Education/Training Program
6410 FANNIN ST
HOUSTON, TX 77030
Harris County (832) 462-3983
OLASUNKANMI ADEYINKA M.D.
Family Medicine
6410 FANNIN ST, 250
HOUSTON, TX 77030
Harris County (832) 325-6500
KEVIN P LALLY M.D.
Surgery (Pediatric Surgery)
6410 FANNIN ST, 1400
HOUSTON, TX 77030
Harris County (832) 325-7234
DIANE M NOVY PH.D.
Psychologist
6410 FANNIN ST, 230
HOUSTON, TX 77030
Harris County (713) 704-3961
RAFAEL C BOTERO M.D.
Internal Medicine (Hepatology)
6410 FANNIN ST, 370
HOUSTON, TX 77030
Harris County (713) 704-6800

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 Rosa Estrada-y-martin's NPI number?

The NPI number for Rosa Estrada-y-martin is 1154354298. It was assigned to this individual provider in the NPPES registry on July 9, 2006.

Where is Rosa Estrada-y-martin located?

Rosa Estrada-y-martin practices at 6410 Fannin St 600, Houston, TX 77030. The listed phone number is (832) 325-7222.

What is Rosa Estrada-y-martin's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Rosa Estrada-y-martin enrolled in Medicare?

Yes. Rosa Estrada-y-martin 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 Rosa Estrada-y-martin accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Rosa Estrada-y-martin 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 Rosa Estrada-y-martin affiliated with any hospitals?

According to CMS data, Rosa Estrada-y-martin is affiliated with Memorial Hermann - Texas Medical Center and Harris Health System.

When was this NPI record last updated?

The NPPES record for Rosa Estrada-y-martin was last updated on December 3, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.