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JOSUE MALDONADO CUSTODIO M.D.
NPI 1609229525
Pediatrics - Pediatric Cardiology in La Crosse, WI

Active since July 15, 2016PECOS EnrolledAccepts Medicare Assignment
700 WEST AVE S, LA CROSSE, WI 54601(608) 785-0940 Get Directions Write a Review

NPPES record last updated: July 18, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 5, 2024, Dec 6, 2021, Nov 3, 2020 and 1 more (4 updates tracked since 2016).

About Josue Maldonado Custodio M.d. NPPES

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

JOSUE MALDONADO CUSTODIO M.D. (NPI 1609229525) is an individual pediatric cardiology provider in La Crosse, Wisconsin, licensed in Wisconsin (85856-20) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS, maintains a secondary practice location in Minneapolis, and is a graduate of University Of Puerto Rico School Of Medicine (2015).

NPPES Registry Identity

NPI1609229525
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameJOSUE MALDONADO CUSTODIOCredential: M.D.
Location Address700 WEST AVE SLa Crosse, WI 54601-4783
Mailing AddressPo Box 860912Minneapolis, MN 55486-0912 · (507) 284-2511
Phone(608) 785-0940
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2015
Enumeration DateJuly 15, 2016
Last NPPES UpdateJuly 18, 20254 updates tracked since enumeration
NPPES CertifiedJuly 18, 2025
✔ NPI 1609229525 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in WI · 85856-20
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License S8070 (TX)
700 WEST AVE S, La Crosse, WI 54601
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Secondary Practice Location 1

Location 12450 Riverside AveMinneapolis, MN 55454-1450 · Phone (612) 626-2958

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Sanford Health Plan, Security Health Plan.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

Josue Maldonado Custodio 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 ID2365860236
PECOS Enrollment IDI20250729000660
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

3

Medicare enrollment records show Josue Maldonado Custodio reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Mayo Clinic Health System-Southwest Wisconsin Region, Inc.
0.1 mi
Multi-Specialty
800 WEST AVE S
La Crosse, WI 54601
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,003 clinicians in this Medicare group
NPI 1629056049 (608) 392-3861
Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
53 mi
Multi-Specialty
13025 8TH ST
Osseo, WI 54758
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,248 clinicians in this Medicare group
NPI 1083140990 (715) 597-3121
Mayo Clinic
63 mi
Infectious Disease
200 1ST ST SW
Rochester, MN 55905
  • Reassigned Medicare billing, Minnesota enrollment
  • 6,534 clinicians in this Medicare group
NPI 1114343860 (507) 284-2511

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.

HOLLY JANIKOWSKI PHARM.D.
Pharmacist
700 WEST AVE S
LA CROSSE, WI 54601
La Crosse County (608) 392-9290
LISA MALMO
Nurse Practitioner
700 WEST AVE S
LA CROSSE, WI 54601
La Crosse County (608) 785-0940
DOUGLAS P SKINNER PAC
Physician Assistant
700 WEST AVE S
LA CROSSE, WI 54601
La Crosse County (608) 785-0940
RAYMOND D POLLOCK MD
Emergency Medicine
700 WEST AVE S
LA CROSSE, WI 54601
La Crosse County (608) 392-7000
KATHLEEN MARIE GRANGAARD FNP
Nurse Practitioner
700 WEST AVE S
LA CROSSE, WI 54601
La Crosse County (608) 785-0940
DR. MARVELENE JULIA CASNER D.O.
Emergency Medicine
700 WEST AVE S
LA CROSSE, WI 54601
La Crosse County (608) 785-0940
STACEY L. BURDS SLP
Speech-Language Pathologist
700 WEST AVE S
LA CROSSE, WI 54601
La Crosse County (608) 785-0940
JULIE A. OLSON PT
Physical Therapist
700 WEST AVE S
LA CROSSE, WI 54601
La Crosse County (608) 785-0940

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 Josue Maldonado Custodio's NPI number?

The NPI number for Josue Maldonado Custodio is 1609229525. It was assigned to this individual provider in the NPPES registry on July 15, 2016.

Where is Josue Maldonado Custodio located?

Josue Maldonado Custodio practices at 700 West Ave S, La Crosse, WI 54601. The listed phone number is (608) 785-0940.

What is Josue Maldonado Custodio's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Josue Maldonado Custodio enrolled in Medicare?

Yes. Josue Maldonado Custodio 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 organizations bill Medicare for Josue Maldonado Custodio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Josue Maldonado Custodio reassigns Medicare benefits to 3 organizations: Mayo Clinic Health System-Southwest Wisconsin Region, Inc. (La Crosse, WI), Mayo Clinic Health System-Northwest Wisconsin Region, Inc. (Osseo, WI) and Mayo Clinic (Rochester, MN). 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 Josue Maldonado Custodio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Josue Maldonado Custodio accept?

Health plans from Anthem Blue Cross and Blue Shield, Sanford Health Plan and Security Health Plan list Josue Maldonado Custodio 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 Josue Maldonado Custodio was last updated on July 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.