GLORIA MUNAYCO MALDONADO MD
NPI 1255181061
Dermatology in Saint Louis, MO

Q: What is Gloria Munayco Maldonado's NPI number?

The NPI number for Gloria Munayco Maldonado is 1255181061. It was assigned to this individual provider in the NPPES registry on March 25, 2024.

Q: What is Gloria Munayco Maldonado's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Active since March 25, 2024PECOS Enrolled

1402 S GRAND BLVD RM M260, SAINT LOUIS, MO 63104(314) 617-2359 Get Directions Write a Review

NPPES record last updated: July 1, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 1, 2025, Jun 25, 2025, Jun 18, 2025 (3 updates tracked since 2025).

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About Gloria Munayco Maldonado Md NPPES

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

GLORIA MUNAYCO MALDONADO MD (NPI 1255181061) is an individual dermatology provider in Saint Louis, Missouri, licensed in Missouri (2025024521) and active in the NPI registry since March 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255181061

Entity TypeIndividualFemale

Primary Taxonomy207N00000X

Provider Legal NameGLORIA MUNAYCO MALDONADOCredential: MD

Location Address1402 S GRAND BLVD RM M260Saint Louis, MO 63104-1004

Mailing Address1402 S Grand Blvd Rm M260Saint Louis, MO 63104-1004 · (231) 461-7235

Phone(314) 617-2359

Sole ProprietorNo

Enumeration DateMarch 25, 2024

Last NPPES UpdateJuly 1, 20253 updates tracked since enumeration

NPPES CertifiedJuly 1, 2025

✔ NPI 1255181061 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians

Taxonomy Code207N00000X

License✔ Licensed in MO · 2025024521

Definition

A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

1402 S GRAND BLVD RM M260, Saint Louis, MO 63104

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gloria Munayco Maldonado Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 63104 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

$86.32 typical visit price

range $55.65 – $169.38

Typical copayment $21.58 (range $13.91 – $42.34)

Most-billed visit code 99203

Established Patient

$69.50 typical visit price

range $17.76 – $137.92

Typical copayment $17.37 (range $4.44 – $34.48)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

HOURI ESMAEIL KHANIAN MD

Student in an Organized Health Care Education/Training Program