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MIGUEL A MALDONADO MD
NPI 1518976471
Family Medicine in Houston, TX

Active since August 07, 2006PECOS Enrolled
18220 STATE HIGHWAY 249 STE 550, HOUSTON, TX 77070(281) 737-0570 Get Directions Write a Review

NPPES record last updated: October 8, 2018. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Miguel A Maldonado Md NPPES

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

MIGUEL A MALDONADO MD (NPI 1518976471) is an individual family medicine provider in Houston, Texas, licensed in Texas (R0901) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Carolina.

NPPES Registry Identity

NPI1518976471
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMIGUEL A MALDONADOCredential: MD
Location Address18220 STATE HIGHWAY 249 STE 550Houston, TX 77070
Mailing Address18220 State Highway 249 Ste 550Houston, TX 77070-4347 · (281) 737-0570
Phone(281) 737-0570
Sole ProprietorYes
Enumeration DateAugust 7, 2006
Last NPPES UpdateOctober 8, 2018
✔ NPI 1518976471 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in TX · R0901
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedFamily Medicine · Geriatric MedicineTaxonomy 207QG0300X · License 6679 (PR)
18220 STATE HIGHWAY 249 STE 550, Houston, TX 77070
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Secondary Practice Location 1

Location 1Carretera 3 Km 8.3, Ave 65 InfanteriaCarolina, PR 00984 · Phone (787) 701-1675 · Fax (787) 750-0215

Other Identifiers 1

Medicaid380636601TX

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miguel A 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.

Medicare Billing Reassignment

Medicare enrollment records show Miguel Maldonado reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Tmh Physician Associates PLLC
20 mi
Ophthalmology
6550 FANNIN ST, SUITE 447
Houston, TX 77030
  • Reassigned Medicare billing, Texas enrollment
  • 2,407 clinicians in this Medicare group
NPI 1275779225 (713) 441-7389

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 4

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.

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.
53 services48 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
22 services22 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77070 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
$90.40 typical visit price
range $58.24 – $176.98
Typical copayment $22.60 (range $14.56 – $44.24)
Most-billed visit code 99203
Established Patient
$102.71 typical visit price
range $18.60 – $143.93
Typical copayment $25.67 (range $4.65 – $35.98)
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.

Referred Medical Equipment & Supplies CMS DME claims 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers19 claims66 services$6.63 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
4 suppliers12 claims25 services$1.18 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
2 suppliers12 claims12 services$4.99 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Miguel Maldonado's NPI number?

The NPI number for Miguel Maldonado is 1518976471. It was assigned to this individual provider in the NPPES registry on August 7, 2006.

Where is Miguel Maldonado located?

Miguel Maldonado practices at 18220 State Highway 249 Ste 550, Houston, TX 77070. The listed phone number is (281) 737-0570.

What is Miguel Maldonado's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Miguel Maldonado enrolled in Medicare?

Yes. Miguel Maldonado is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Miguel Maldonado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miguel Maldonado reassigns Medicare benefits to Tmh Physician Associates PLLC (Houston, 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 Miguel Maldonado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Miguel Maldonado was last updated on October 8, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.