DR. MARTIN BASALDUA M.D.
NPI 1609809391
Family Medicine in Kingwood, TX
About Dr. Martin Basaldua M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. MARTIN BASALDUA M.D. (NPI 1609809391) is an individual family medicine provider in Kingwood, Texas, licensed in Texas (F8007) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Memorial Hermann Northeast Hospital, and is a graduate of University Of Texas Medical School At San Antonio (1983).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Dr. Martin Basaldua 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.
Medicare Billing Reassignments
3Medicare enrollment records show Martin Basaldua reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kingwood, TX 77339
- Reassigned Medicare billing, Texas enrollment
- 6 clinicians in this Medicare group
The Woodlands, TX 77380
- Reassigned Medicare billing, Texas enrollment
- 19 clinicians in this Medicare group
Alvin, TX 77511
- Reassigned Medicare billing, Texas enrollment
- 191 clinicians in this Medicare group
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 36
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hermann Northeast Hospital
Acute Care Hospitals · Humble, TXTops Surgical Specialty Hospital
Acute Care Hospitals · Houston, TXHca Houston Healthcare Kingwood
Acute Care Hospitals · Kingwood, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77339 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Martin Basaldua's NPI number?
The NPI number for Martin Basaldua is 1609809391. It was assigned to this individual provider in the NPPES registry on July 8, 2006.
Where is Martin Basaldua located?
Martin Basaldua practices at 23330 Hwy 59 N Ste 300, Kingwood, TX 77339. The listed phone number is (281) 359-3223.
What is Martin Basaldua's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Martin Basaldua enrolled in Medicare?
Yes. Martin Basaldua 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 Martin Basaldua's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Martin Basaldua reassigns Medicare benefits to 3 organizations: Vytalus Medical Group, PLLC (Kingwood, TX), Texienne Physicians Medical Association PLLC (The Woodlands, TX) and Stephen F. Austin Community Health Center, Inc. (Alvin, TX). 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 Martin Basaldua's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Martin Basaldua accept?
Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and UnitedHealthcare list Martin Basaldua 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.
Is Martin Basaldua affiliated with any hospitals?
According to CMS data, Martin Basaldua is affiliated with Memorial Hermann Northeast Hospital, Tops Surgical Specialty Hospital and Hca Houston Healthcare Kingwood.
When was this NPI record last updated?
The NPPES record for Martin Basaldua was last updated on October 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 days 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.