CESAR ALFREDO MALDONADO M.D.
NPI 1235420878
Family Medicine in Edna, TX
About Cesar Alfredo Maldonado M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CESAR ALFREDO MALDONADO M.D. (NPI 1235420878) is an individual family medicine provider in Edna, Texas, licensed in Texas (Q1664) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS, is affiliated with Citizens Medical Center, and is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Cesar Alfredo 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.
Medicare Billing Reassignment
Medicare enrollment records show Cesar Maldonado reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Edna, TX 77957
- Reassigned Medicare billing, Texas enrollment
- Also billed through NPI 1215971478 (Texas)
- 20 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Citizens Medical Center
Acute Care Hospitals · Victoria, TXJackson Healthcare Center
Critical Access Hospitals · Edna, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77957 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 9
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Cesar Maldonado's NPI number?
The NPI number for Cesar Maldonado is 1235420878. It was assigned to this individual provider in the NPPES registry on May 1, 2011.
Where is Cesar Maldonado located?
Cesar Maldonado practices at 1013A S Wells St, Edna, TX 77957. The listed phone number is (361) 782-7820.
What is Cesar Maldonado's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Cesar Maldonado enrolled in Medicare?
Yes. Cesar 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.
Which organization bills Medicare for Cesar Maldonado's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Cesar Maldonado reassigns Medicare benefits to Jackson County Hospital District (Edna, TX). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Cesar Maldonado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Cesar Maldonado 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 2 other insurers list Cesar 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 Cesar Maldonado affiliated with any hospitals?
According to CMS data, Cesar Maldonado is affiliated with Citizens Medical Center and Jackson Healthcare Center.
When was this NPI record last updated?
The NPPES record for Cesar Maldonado was last updated on January 21, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.