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MARY BETH MADONNA MD
NPI 1265427108
Surgery - Pediatric Surgery in San Antonio, TX

Active since September 16, 2005PECOS Enrolled
333 N SANTA ROSA, SAN ANTONIO, TX 78207(210) 704-4100 Get Directions Write a Review

NPPES record last updated: November 16, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 16, 2022, Apr 1, 2021 (2 updates tracked since 2021).

About Mary Beth Madonna Md NPPES

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

MARY BETH MADONNA MD (NPI 1265427108) is an individual pediatric surgery provider in San Antonio, Texas, licensed in Texas (U0254) and active in the NPI registry since September 2005. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265427108
Entity TypeIndividualFemale
Primary Taxonomy2086S0120X
Provider Legal NameMARY BETH MADONNACredential: MD
Location Address333 N SANTA ROSASan Antonio, TX 78207-3108
Mailing Address333 N Santa RosaSan Antonio, TX 78207-3108 · (210) 704-4100
Phone(210) 704-4100
Sole ProprietorNo
Enumeration DateSeptember 16, 2005
Last NPPES UpdateNovember 16, 20222 updates tracked since enumeration
NPPES CertifiedNovember 16, 2022
✔ NPI 1265427108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
Licenses✔ Licensed in TX · U0254✔ Licensed in IL · 036-083049
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
333 N SANTA ROSA, San Antonio, TX 78207
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12300 N Childrens PlzChicago, IL 60614-3363 · Phone (630) 789-2550
Location 21555 Barrington Rd Lowr LevelHoffman Estates, IL 60169-1019 · Phone (847) 490-4222

Other Identifiers 2

Medicaid036083049IL
Other1627123IL · Bcbs Provider Id

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Aspirus Health Plan and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mary Beth Madonna 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Mary Beth Madonna reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rockford Health Physicians
1,031 mi
Anesthesiology
2400 N ROCKTON AVE
Rockford, IL 61103
  • Reassigned Medicare billing, Illinois enrollment
  • 1,375 clinicians in this Medicare group
NPI 1023275278 (815) 971-5000
Rush University Medical Center
1,041 mi
Internal Medicine
2011 YORK ROAD, 2ND FLOOR
Oak Brook, IL 60523
  • Reassigned Medicare billing, Illinois enrollment
  • Medicare enrollment name: Rush University Medical Group
  • 2,169 clinicians in this Medicare group
NPI 1801375696 (630) 724-1310
Shriners Hospitals For Children
1,049 mi
Anesthesiology
2211 N OAK PARK AVE
Chicago, IL 60707
  • Reassigned Medicare billing, Illinois enrollment
  • 99 clinicians in this Medicare group
NPI 1326536574 (773) 622-3351
Endeavor Health Medical Group
1,060 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

LATHA PRASANNAN MD
Pediatrics (Pediatric Hematology-Oncology)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3030
SOFIA SILVER COOK MD
Pediatrics (Pediatric Emergency Medicine)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3030
NATALIE DIANE ETHRIDGE CPNP-AC
Nurse Practitioner (Pediatrics, Critical Care)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3030
BONNIE MCILYAR DURLEY DO
Pediatrics
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3910
RAQUEL S PAZ
Student in an Organized Health Care Education/Training Program
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (760) 912-1125
DR. OLGA M CAJAS MD
Pediatrics
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-4966
LEA PORCHE M.D.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (713) 798-1750
SETH T SORENSEN PHD
Clinical Neuropsychologist
333 N SANTA ROSA
SAN ANTONIO, TX 78207
Bexar County (210) 704-3030

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 Mary Beth Madonna's NPI number?

The NPI number for Mary Beth Madonna is 1265427108. It was assigned to this individual provider in the NPPES registry on September 16, 2005.

Where is Mary Beth Madonna located?

Mary Beth Madonna practices at 333 N Santa Rosa, San Antonio, TX 78207. The listed phone number is (210) 704-4100.

What is Mary Beth Madonna's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Mary Beth Madonna enrolled in Medicare?

Yes. Mary Beth Madonna is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Mary Beth Madonna's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mary Beth Madonna reassigns Medicare benefits to 4 organizations: Rockford Health Physicians (Rockford, IL), Rush University Medical Center (Oak Brook, IL), Shriners Hospitals For Children (Chicago, IL) and Endeavor Health Medical Group (Evanston, IL). Each 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 Mary Beth Madonna's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Mary Beth Madonna accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Aspirus Health Plan and Oscar Health list Mary Beth Madonna 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.

When was this NPI record last updated?

The NPPES record for Mary Beth Madonna was last updated on November 16, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.