KARLA I MALDONADO NP
NPI 1174845937
Nurse Practitioner in Houston, TX

Active since February 22, 2010PECOS EnrolledAccepts Medicare Assignment
84.05/100
CMS Quality Rating
1504 TAUB LOOP, ANESTHESIA DEPARTMENT, HOUSTON, TX 77030(713) 873-2000 Get Directions Write a Review

NPPES record last updated: June 10, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Karla I Maldonado Np NPPES

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

KARLA I MALDONADO NP (NPI 1174845937) is an individual nurse practitioner in Houston, Texas, licensed in Texas (725347) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS, is affiliated with Harris Health System, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1174845937
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameKARLA I MALDONADOCredential: NP
Location Address1504 TAUB LOOP, ANESTHESIA DEPARTMENTHouston, TX 77030-1608
Mailing Address2 Greenway PlzHouston, TX 77046-0297 · (713) 798-1835 · Fax (713) 798-1144
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateFebruary 22, 2010
Last NPPES UpdateJune 10, 2010
NPI 1174845937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in TX · 725347
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1504 TAUB LOOP, Houston, TX 77030

Other Identifiers 1

Medicare PIN8L26188TX

Accepted 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

Karla I Maldonado Np 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 ID2860520517
PECOS Enrollment IDI20100517000789
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

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.

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
15 services12 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 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
$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
Quality84.49
Improvement Activities40
Cost54.39

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.

Internal Medicine
1504 TAUB LOOP
HOUSTON, TX 77030
Physician Assistant
1504 TAUB LOOP
HOUSTON, TX 77030
Physician Assistant
1504 TAUB LOOP
HOUSTON, TX 77030
Emergency Medicine
1504 TAUB LOOP, EMERGENCY CENTER
HOUSTON, TX 77030
Emergency Medicine
1504 TAUB LOOP
HOUSTON, TX 77030
Internal Medicine (Infectious Disease)
1504 TAUB LOOP
HOUSTON, TX 77030
Obstetrics & Gynecology
1504 TAUB LOOP
HOUSTON, TX 77030
Emergency Medicine
1504 TAUB LOOP
HOUSTON, TX 77030

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 Karla Maldonado's NPI number?

The NPI number for Karla Maldonado is 1174845937. It was assigned to this individual provider in the NPPES registry on February 22, 2010.

Where is Karla Maldonado located?

Karla Maldonado practices at 1504 Taub Loop Anesthesia Department, Houston, TX 77030. The listed phone number is (713) 873-2000.

What is Karla Maldonado's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Karla Maldonado enrolled in Medicare?

Yes. Karla Maldonado 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 Karla Maldonado accept?

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

According to CMS data, Karla Maldonado is affiliated with Harris Health System.

When was this NPI record last updated?

The NPPES record for Karla Maldonado was last updated on June 10, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.