DR. MAURICIO RICARDO MONRROY PRADO M.D.
NPI 1285836353
Internal Medicine - Nephrology in Richmond, VA

Q: What is Mauricio Monrroy Prado's NPI number?

The NPI number for Mauricio Monrroy Prado is 1285836353. It was assigned to this individual provider in the NPPES registry on June 1, 2007.

Q: What is Mauricio Monrroy Prado's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since June 01, 2007PECOS EnrolledAccepts Medicare Assignment

76.7/100

CMS Quality Rating

3806 MECHANICSVILLE TPKE, RICHMOND, VA 23223(804) 228-1143 Get Directions Write a Review

NPPES record last updated: August 26, 2012. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Dr. Mauricio Ricardo Monrroy Prado M.d. NPPES

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

DR. MAURICIO RICARDO MONRROY PRADO M.D. (NPI 1285836353) is an individual nephrology provider in Richmond, Virginia, licensed in Virginia (0101251095) and active in the NPI registry since June 2007. He is enrolled in Medicare PECOS, is affiliated with Albany Medical Center Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1285836353

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. MAURICIO RICARDO MONRROY PRADOCredential: M.D.

Location Address3806 MECHANICSVILLE TPKERichmond, VA 23223-1114

Mailing Address951 Brickell Ave Apt 703Miami, FL 33131-3933

Phone(804) 228-1143

Sole ProprietorNo

Medical School CMSOtherGraduated 2000

Enumeration DateJune 1, 2007

Last NPPES UpdateAugust 26, 2012

✔ NPI 1285836353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in VA · 0101251095

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

3806 MECHANICSVILLE TPKE, Richmond, VA 23223

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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

Dr. Mauricio Ricardo Monrroy Prado 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 ID8921264615

PECOS Enrollment IDI20151112001791

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 Reassignment

Medicare enrollment records show Mauricio Monrroy Prado reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Albany Medical College

399 mi

Allergy & Immunology

47 NEW SCOTLAND AVE
Albany, NY 12208

Reassigned Medicare billing, New York enrollment
1,640 clinicians in this Medicare group

NPI 1497921688 (518) 262-9600

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

Areas of Expertise CMS Part B claims 11

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 moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

286 services147 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

124 services78 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.

107 services79 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

99 services51 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

74 services73 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

53 services11 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

50 services13 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

29 services24 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

29 services17 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.

19 services19 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Albany Medical Center Hospital

Acute Care Hospitals · Albany, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330013

Location43 New Scotland Avenue, Mail Code 34Albany, NY 12208 · Albany County

Emergency services Birthing friendly

Adirondack Medical Center - Saranac Lake

Acute Care Hospitals · Saranac Lake, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330079

Location2233 State Route 86, PO Box 471Saranac Lake, NY 12983 · Franklin County

Emergency services Birthing friendly

Columbia Memorial Hospital

Acute Care Hospitals · Hudson, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330094

Location71 Prospect AvenueHudson, NY 12534 · Columbia County

Emergency services

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330180

Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County

Emergency services Birthing friendly

Saratoga Hospital

Acute Care Hospitals · Saratoga Springs, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330222

Location211 Church StreetSaratoga Springs, NY 12866 · Saratoga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23223 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

$129.04 typical visit price

range $56.19 – $170.30

Typical copayment $32.26 (range $14.04 – $42.57)

Most-billed visit code 99204

Established Patient

$99.13 typical visit price

range $18.07 – $138.91

Typical copayment $24.78 (range $4.51 – $34.72)

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.

76.7/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

77.96

Promoting Interoperability

Improvement Activities

Cost

61.04

Referred Medical Equipment & Supplies CMS DME claims 8

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers40 claims1,530 services$0.30 avg. paid by Medicare

Prednisone, immediate release or delayed release, oral, 1 mg J7512

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers13 claims915 services$0.01 avg. paid by Medicare

Cyclosporine, oral, 25 mg J7515

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims1,440 services$0.54 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers45 claims3,690 services$0.20 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

2 suppliers15 claims1,080 services$1.02 avg. paid by Medicare

Sirolimus, oral, 1 mg J7520

Treatment-Treatment - Miscellaneous · category RX029N

4 suppliers44 claims1,365 services$2.65 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARYANN ROBERTS FNP-C

Nurse Practitioner (Family)