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CAROLINA PRADERIO M.D.
NPI 1679764252
Obstetrics & Gynecology in Corpus Christi, TX

Active since August 07, 2007PECOS EnrolledAccepts Medicare AssignmentCLIA 45D2073990 · Waiver
5826 ESPLANADE DR STE 101, CORPUS CHRISTI, TX 78414(361) 991-9356(844) 717-5672 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Carolina Praderio M.d. NPPES

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

CAROLINA PRADERIO M.D. (NPI 1679764252) is an individual obstetrics & gynecology provider in Corpus Christi, Texas, licensed in Texas (N7573) and active in the NPI registry since August 2007. She is enrolled in Medicare PECOS, holds a CLIA Waiver certificate valid through July 26, 2027, and is a graduate of Texas Tech University Health Science Center School Of Medicine (2006).

NPPES Registry Identity

NPI1679764252
Entity TypeIndividualFemale
Primary Taxonomy207V00000X
Provider Legal NameCAROLINA PRADERIOCredential: M.D.
Location Address5826 ESPLANADE DR STE 101Corpus Christi, TX 78414-4208
Mailing Address5826 Esplanade Dr Ste 101Corpus Christi, TX 78414-4208 · (361) 991-9356 · Fax (844) 717-5672
Phone(361) 991-9356
Fax(844) 717-5672
Sole ProprietorYes
Medical School CMSTexas Tech University Health Science Center School Of MedicineGraduated 2006
Enumeration DateAugust 7, 2007
Last NPPES UpdateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
✔ NPI 1679764252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in TX · N7573
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
5826 ESPLANADE DR STE 101, Corpus Christi, TX 78414
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Other Identifiers 1

Medicaid282426001TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Carolina Praderio 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 ID3173708914
PECOS Enrollment IDI20110421000269
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D2073990

Carolina Praderio MD PLLC · Corpus Christi, TX
Active · expires Jul 26, 2027
CLIA Number45D2073990
Laboratory TypePhysician Office
Certificate Effective DateJuly 27, 2025
Certificate Expiration DateJuly 26, 2027
Laboratory DirectorCarolina Praderio
Laboratory Phone(361) 991-9356
Laboratory LocationCarolina Praderio MD PLLC5826 Esplanade Drive, Suite 101, Corpus Christi, TX 78414
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 3

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.
25 services17 patients
Cervical or vaginal cancer screening; pelvic and clinical breast examination G0101
This procedure involves checking for health issues in the lower abdomen and chest area. It helps identify early signs of certain conditions, increasing the chance for successful treatment. It's a routine check-up that's important for maintaining good health.
25 services25 patients
Screening papanicolaou smear; obtaining, preparing and conveyance of cervical or vaginal smear to laboratory Q0091
A Papanicolaou smear, often called a Pap smear, is a test to check for changes in cells. A small sample is gently collected from the lower region and sent to a lab for examination. This helps in early detection of potential health issues.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78414 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
$126.40 typical visit price
range $54.84 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$68.55 typical visit price
range $17.52 – $136.11
Typical copayment $17.13 (range $4.38 – $34.02)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Carolina Praderio's NPI number?

The NPI number for Carolina Praderio is 1679764252. It was assigned to this individual provider in the NPPES registry on August 7, 2007.

Where is Carolina Praderio located?

Carolina Praderio practices at 5826 Esplanade Dr Ste 101, Corpus Christi, TX 78414. The listed phone number is (361) 991-9356.

What is Carolina Praderio's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Is Carolina Praderio enrolled in Medicare?

Yes. Carolina Praderio 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.

Does Carolina Praderio hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D2073990) is associated with this NPI, valid through July 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Carolina Praderio accept?

Health plans from Blue Cross and Blue Shield of Texas, CHRISTUS Health Plan and UnitedHealthcare list Carolina Praderio 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 Carolina Praderio was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.