MADELINE JIMENEZ-TORRES M. D.
NPI 1689952509
Internal Medicine - Nephrology in Tyler, TX

Active since July 26, 2011PECOS EnrolledAccepts Medicare Assignment
1133 MEDICAL DR, TYLER, TX 75701(903) 595-5486(903) 595-5128 Get Directions Write a Review

NPPES record last updated: April 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 26, 2018, Jun 27, 2018, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

About Madeline Jimenez-torres M. D. NPPES

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

MADELINE JIMENEZ-TORRES M. D. (NPI 1689952509) is an individual nephrology provider in Tyler, Texas, licensed in Texas (R4245) and active in the NPI registry since July 2011. She is enrolled in Medicare PECOS, is affiliated with Ut Health East Texas Tyler Regional Hospital, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1689952509
Entity TypeIndividualFemale
Primary Taxonomy207RN0300X
Provider Legal NameMADELINE JIMENEZ-TORRESCredential: M. D.
Location Address1133 MEDICAL DRTyler, TX 75701
Mailing Address1133 Medical DrTyler, TX 75701-2130 · (903) 595-5486 · Fax (903) 595-5128
Fax(903) 595-5128
Sole ProprietorNo
Medical School CMSOtherGraduated 2009
Enumeration DateJuly 26, 2011
Last NPPES UpdateApril 20, 20234 updates tracked since enumeration
NPPES CertifiedApril 20, 2023
NPI 1689952509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in TX · R4245
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedGeneral PracticeTaxonomy 208D00000X · License 12863 (PR)
Also ListedHospitalistTaxonomy 208M00000X · License 208030 (LA)
1133 MEDICAL DR, Tyler, TX 75701

Other Identifiers 1

Medicaid3870297-01TX

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

Madeline Jimenez-torres 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 ID8022314640
PECOS Enrollment IDI20180711003146
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 10

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
508 services142 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
334 services117 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
198 services88 patients
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.
198 services158 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
105 services103 patients
Dialysis services, 2-3 physician visits per month (20 years or older) 90961
Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.
84 services67 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Ut Health East Texas Tyler Regional Hospital

Acute Care Hospitals · Tyler, TX
1/5 CMS rating
OwnershipProprietary
CMS Certification Number450083
Location1000 South Beckham AveTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Christus Mother Frances Hospital

Acute Care Hospitals · Tyler, TX
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number450102
Location800 East DawsonTyler, TX 75701 · Smith County
Emergency services Birthing friendly

Ut Health East Texas Jacksonville Hospital

Acute Care Hospitals · Jacksonville, TX
OwnershipProprietary
CMS Certification Number450194
Location501 S RagsdaleJacksonville, TX 75766 · Cherokee County
Emergency services Birthing friendly

Ut Health East Texas Athens Hospital

Acute Care Hospitals · Athens, TX
2/5 CMS rating
OwnershipProprietary
CMS Certification Number450389
Location2000 South Palestine StAthens, TX 75751 · Henderson County
Emergency services Birthing friendly

Ut Health East Texas Pittsburg Hospital

Critical Access Hospitals · Pittsburg, TX
3/5 CMS rating
OwnershipProprietary
CMS Certification Number451367
Location2701 Us Hwy 271 NPittsburg, TX 75686 · Camp County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 75701 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
$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.

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512
Treatment-Chemotherapy · category RH012N
1 supplier16 claims16 services$12.66 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 20

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

Internal Medicine (Nephrology)
1133 MEDICAL DR
TYLER, TX 75701
Internal Medicine (Nephrology)
1133 MEDICAL DR
TYLER, TX 75701
Internal Medicine (Nephrology)
1133 MEDICAL DR
TYLER, TX 75701
Internal Medicine (Nephrology)
1133 MEDICAL DR
TYLER, TX 75701
Nurse Practitioner
1133 MEDICAL DR
TYLER, TX 75701
Physician Assistant
1133 MEDICAL DR
TYLER, TX 75701
Nurse Practitioner
1133 MEDICAL DR
TYLER, TX 75701
Internal Medicine (Nephrology)
1133 MEDICAL DR
TYLER, TX 75701

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 Madeline Jimenez-torres's NPI number?

The NPI number for Madeline Jimenez-torres is 1689952509. It was assigned to this individual provider in the NPPES registry on July 26, 2011.

Where is Madeline Jimenez-torres located?

Madeline Jimenez-torres practices at 1133 Medical Dr, Tyler, TX 75701. The listed phone number is (903) 595-5486.

What is Madeline Jimenez-torres's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Madeline Jimenez-torres enrolled in Medicare?

Yes. Madeline Jimenez-torres 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 Madeline Jimenez-torres accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 3 other insurers list Madeline Jimenez-torres 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 Madeline Jimenez-torres affiliated with any hospitals?

According to CMS data, Madeline Jimenez-torres is affiliated with Ut Health East Texas Tyler Regional Hospital, Christus Mother Frances Hospital, Ut Health East Texas Jacksonville Hospital, Ut Health East Texas Athens Hospital and Ut Health East Texas Pittsburg Hospital.

When was this NPI record last updated?

The NPPES record for Madeline Jimenez-torres was last updated on April 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.