MICHAEL FORONDA DE LOTA MD
NPI 1689937997
Family Medicine in Kyle, TX

Active since June 21, 2012PECOS EnrolledAccepts Medicare Assignment
4100 EVERETT DR, SUITE 400, KYLE, TX 78640(512) 295-1333(512) 406-7327 Get Directions Write a Review

NPPES record last updated: July 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2021, Mar 25, 2016, Dec 11, 2015 (3 updates tracked since 2015).

About Michael Foronda De Lota Md NPPES

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

MICHAEL FORONDA DE LOTA MD (NPI 1689937997) is an individual family medicine provider in Kyle, Texas, licensed in Texas (Q3171) and active in the NPI registry since June 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2012).

NPPES Registry Identity

NPI1689937997
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameMICHAEL FORONDA DE LOTACredential: MD
Location Address4100 EVERETT DR, SUITE 400Kyle, TX 78640-6146
Mailing Address6210 E Highway 290Austin, TX 78723-1142 · (512) 406-6216 · Fax (512) 406-6216
Fax(512) 406-7327
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJune 21, 2012
Last NPPES UpdateJuly 20, 20213 updates tracked since enumeration
NPPES CertifiedJuly 20, 2021
NPI 1689937997 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Licenses Licensed in TX · Q3171 Licensed in TX · BP10044611
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.
4100 EVERETT DR, Kyle, TX 78640

Other Identifiers 2

Medicaid343719603TX
Medicaid343719604TX

Accepted 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

Michael Foronda De Lota Md 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 ID9931426707
PECOS Enrollment IDI20150317000537
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.

Areas of Expertise CMS Part B claims 15

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.
348 services225 patients
Blood test, comprehensive group of blood chemicals 80053
A comprehensive group of blood chemicals test, also known as a comprehensive metabolic panel, is a blood test that measures your sugar level, electrolyte and fluid balance, kidney function, and liver function. This helps to check your body's overall health.
189 services144 patients
Blood test, lipids (cholesterol and triglycerides) 80061
A lipid panel is a blood test that measures fats and fatty substances, such as cholesterol and triglycerides. These substances are used by your body as a source of energy. High levels can lead to health issues, including heart disease.
172 services136 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.
104 services78 patients
Blood test, thyroid stimulating hormone (tsh) 84443
A TSH blood test measures the level of thyroid stimulating hormone in your body. This hormone is produced by the pituitary gland and regulates how your thyroid works. It's a simple procedure where a small amount of blood is drawn from your arm for analysis.
60 services41 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.
54 services51 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 78640 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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

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
5 suppliers17 claims37 services$6.57 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 13

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Chiropractor
4100 EVERETT DR, SUITE 200
KYLE, TX 78640
Family Medicine
4100 EVERETT DR, SUITE 400
KYLE, TX 78640
Pediatrics
4100 EVERETT DR, SUITE 400
KYLE, TX 78640
Internal Medicine (Pulmonary Disease)
4100 EVERETT DR, SUITE 210
KYLE, TX 78640
Naturopath
4100 EVERETT DR, SUITE 200
KYLE, TX 78640
Audiologist
4100 EVERETT DR, SUITE 400
KYLE, TX 78640
Family Medicine
4100 EVERETT DR, SUITE 400
KYLE, TX 78640
Chiropractor
4100 EVERETT DR
KYLE, TX 78640

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 Michael De Lota's NPI number?

The NPI number for Michael De Lota is 1689937997. It was assigned to this individual provider in the NPPES registry on June 21, 2012.

Where is Michael De Lota located?

Michael De Lota practices at 4100 Everett Dr Suite 400, Kyle, TX 78640. The listed phone number is (512) 295-1333.

What is Michael De Lota's specialty?

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

Is Michael De Lota enrolled in Medicare?

Yes. Michael De Lota 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.

What insurance does Michael De Lota accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and Ambetter from Superior HealthPlan and 5 other insurers list Michael De Lota 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 Michael De Lota was last updated on July 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.