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DR. EDWARD MALDONADO JR. M.D.
NPI 1679004915
Internal Medicine - Hematology & Oncology in San Francisco, CA

Active since March 27, 2017PECOS EnrolledAccepts Medicare Assignment
1825 4TH ST FL 6, SAN FRANCISCO, CA 94143(415) 476-4616 Get Directions Write a Review

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

Record update history: Nov 18, 2025, Nov 13, 2025, Sep 1, 2025 and 4 more (7 updates tracked since 2017).

About Dr. Edward Maldonado Jr. M.d. NPPES

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

DR. EDWARD MALDONADO JR. M.D. (NPI 1679004915) is an individual hematology & oncology provider in San Francisco, California, licensed in Oregon (MD193199) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2017).

NPPES Registry Identity

NPI1679004915
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameDR. EDWARD MALDONADO JR.Credential: M.D.
Location Address1825 4TH ST FL 6San Francisco, CA 94143-2350
Mailing Address1825 4th St Fl 6San Francisco, CA 94143-2350 · (415) 476-4616
Phone(415) 476-4616
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 27, 2017
Last NPPES UpdateNovember 18, 20257 updates tracked since enumeration
NPPES CertifiedNovember 18, 2025
✔ NPI 1679004915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
Licenses✔ Licensed in OR · MD193199✔ Licensed in WA · MD61530844✔ Licensed in CA · A172397
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1825 4TH ST FL 6, San Francisco, CA 94143
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Kaiser Permanente.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. Edward Maldonado Jr. 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 ID2466724497
PECOS Enrollment IDI20250924004943
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 Edward Maldonado reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Regents Of The University Of California
3.0 mi
Endocrinology, Diabetes & Metabolism
1600 DIVISADERO ST
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 2,112 clinicians in this Medicare group
NPI 1235322348 (415) 353-9720
University Of California San Francisco
3.7 mi
Surgery
400 PARNASSUS AVE, MCB 300
San Francisco, CA 94143
  • Reassigned Medicare billing, California enrollment
  • 5,645 clinicians in this Medicare group
NPI 1346329380 (415) 353-2161
Ucsf Medical Group Business Services
3.7 mi
Internal Medicine
400 PARNASSUS AVE
San Francisco, CA 94122
  • Reassigned Medicare billing, California enrollment
  • 5,544 clinicians in this Medicare group
NPI 1477624104 (415) 353-2808
South Salem Rehabilitation, LLC
492 mi
Skilled Nursing Facility
3445 BOONE RD SE
Salem, OR 97317
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • Also billed through NPI 1871848457 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1215071998 (503) 576-3000

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94143 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
$202.35 typical visit price
range $69.00 – $202.35
Typical copayment $50.58 (range $17.25 – $50.58)
Most-billed visit code 99205
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

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.

MISS FEDNA MORENCY P.A.-C, ATC
Physician Assistant (Surgical)
1825 4TH ST FL 6
SAN FRANCISCO, CA 94143
San Francisco County (415) 885-3800
DR. RANDEEP KAUR BRAR M.D.
Medical Genetics (Clinical Genetics (M.D.))
1825 4TH ST FL 6
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-2757
IRENE JOAN CHANG M.D.
Medical Genetics (Clinical Genetics (M.D.))
1825 4TH ST FL 6
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-2757
STEPHANIE CHAM M.D.
Obstetrics & Gynecology (Gynecologic Oncology)
1825 4TH ST FL 6
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-9600
MONICA PENON PORTMANN MD
Pediatrics
1825 4TH ST FL 6
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-2757
HANNAH CHESSER M.D.
Pediatrics (Pediatric Endocrinology)
1825 4TH ST FL 6
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-7337
REVA FRANKEL MD
Medical Genetics (Clinical Genetics (M.D.))
1825 4TH ST FL 6
SAN FRANCISCO, CA 94143
San Francisco County (415) 476-2757
MISS CARMEN KAI MAN TSE R.D.
Dietitian, Registered (Nutrition, Pediatric)
1825 4TH ST FL 6
SAN FRANCISCO, CA 94143
San Francisco County (415) 353-2813

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 Edward Maldonado's NPI number?

The NPI number for Edward Maldonado is 1679004915. It was assigned to this individual provider in the NPPES registry on March 27, 2017.

Where is Edward Maldonado located?

Edward Maldonado practices at 1825 4th St Fl 6, San Francisco, CA 94143. The listed phone number is (415) 476-4616.

What is Edward Maldonado's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Edward Maldonado enrolled in Medicare?

Yes. Edward Maldonado 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 Edward Maldonado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edward Maldonado reassigns Medicare benefits to 4 organizations: Regents Of The University Of California (San Francisco, CA), University Of California San Francisco (San Francisco, CA), Ucsf Medical Group Business Services (San Francisco, CA) and South Salem Rehabilitation, LLC (Salem, OR). 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 Edward Maldonado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Edward Maldonado accept?

Health plans from Kaiser Permanente list Edward Maldonado 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 Edward Maldonado was last updated on November 18, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.