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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ALBERTO RENE MALDONADO M.D.
NPI 1194894808
Specialist in Louisville, KY

Active since November 07, 2006PECOS EnrolledAccepts Medicare Assignment
516 NICKLEBY WAY, LOUISVILLE, KY 40245(502) 636-9949(502) 636-9546 Get Directions Write a Review

NPPES record last updated: August 16, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 16, 2026, Aug 20, 2024 (2 updates tracked since 2024).

About Dr. Alberto Rene Maldonado M.d. NPPES

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

DR. ALBERTO RENE MALDONADO M.D. (NPI 1194894808) is an individual specialist in Louisville, Kentucky, licensed in Kentucky (21106) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Jewish Hospital & St Mary's Healthcare, and is a graduate of Other (1980).

NPPES Registry Identity

NPI1194894808
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. ALBERTO RENE MALDONADOCredential: M.D.
Location Address516 NICKLEBY WAYLouisville, KY 40245-4077
Mailing Address516 Nickleby WayLouisville, KY 40245-4077 · (502) 636-9949 · Fax (502) 636-9546
Phone(502) 636-9949
Fax(502) 636-9546
Sole ProprietorNo
Medical School CMSOtherGraduated 1980
Enumeration DateNovember 7, 2006
Last NPPES UpdateAugust 16, 20262 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1194894808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in KY · 21106
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
516 NICKLEBY WAY, Louisville, KY 40245
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Other Identifiers 1

Medicaid64211063KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health 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

Dr. Alberto Rene Maldonado 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 ID547396343
PECOS Enrollment IDI20100331000774
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 5

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.
150 services38 patients
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.
57 services13 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
57 services54 patients
Removal of pressure sore and bone at sacrum in preparation of muscle flap or skin graft 15937
This procedure involves removing a pressure sore and affected bone at the base of your spine (sacrum). This is done to prepare the area for a muscle flap or skin graft, which is a method to replace and heal the damaged skin.
16 services12 patients
Removal of muscle and/or tissue, 20.0 sq cm or less 11043
This procedure involves the surgical removal of a specified area (20.0 sq cm or less) of muscle and/or tissue. It's typically done to treat conditions like tumors, infections, or injuries. Local or general anesthesia ensures comfort. Recovery time varies.
11 services11 patients

Hospital Affiliations CMS Care Compare 2

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

Jewish Hospital & St Mary's Healthcare

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180040
Location200 Abraham Flexner WayLouisville, KY 40202 · Jefferson County
Emergency services

Norton Hospitals, Inc

Acute Care Hospitals · Louisville, KY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number180088
Location200 East Chestnut StreetLouisville, KY 40202 · Jefferson County
Emergency services Birthing friendly

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 Alberto Maldonado's NPI number?

The NPI number for Alberto Maldonado is 1194894808. It was assigned to this individual provider in the NPPES registry on November 7, 2006.

Where is Alberto Maldonado located?

Alberto Maldonado practices at 516 Nickleby Way, Louisville, KY 40245. The listed phone number is (502) 636-9949.

What is Alberto Maldonado's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Alberto Maldonado enrolled in Medicare?

Yes. Alberto 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 Alberto Maldonado accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Home State Health and Ambetter of Tennessee list Alberto 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 Alberto Maldonado affiliated with any hospitals?

According to CMS data, Alberto Maldonado is affiliated with Jewish Hospital & St Mary's Healthcare and Norton Hospitals, Inc.

When was this NPI record last updated?

The NPPES record for Alberto Maldonado was last updated on August 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 days 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.