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LUIS MALDONADO MD
NPI 1710997416
Pediatrics in Tampa, FL

Active since August 08, 2006PECOS Enrolled
12901 BRUCE B DOWNS BLVD, TAMPA, FL 33612(813) 259-8700 Get Directions Write a Review

NPPES record last updated: October 27, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Luis Maldonado Md NPPES

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

LUIS MALDONADO MD (NPI 1710997416) is an individual pediatrics provider in Tampa, Florida, licensed in Florida (ME70675) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Tampa.

NPPES Registry Identity

NPI1710997416
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameLUIS MALDONADOCredential: MD
Location Address12901 BRUCE B DOWNS BLVDTampa, FL 33612-4742
Mailing AddressPo Box 917770Orlando, FL 32891-0001 · (813) 974-2201 · Fax (813) 974-2812
Phone(813) 259-8700
Sole ProprietorNo
Enumeration DateAugust 8, 2006
Last NPPES UpdateOctober 27, 2020
NPPES CertifiedOctober 27, 2020
✔ NPI 1710997416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME70675
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
12901 BRUCE B DOWNS BLVD, Tampa, FL 33612
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Secondary Practice Location 1

Location 12 Tampa General CirTampa, FL 33606-3603 · Phone (813) 974-2201 · Fax (813) 974-2812

Other Identifiers 2

Medicaid254230700FL
Other43738FL · Blue Cross Blue Shield

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luis Maldonado Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Luis Maldonado reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

University Medical Service Association Inc
Same address
General Practice
12901 BRUCE B DOWNS BLVD, MDC 62
Tampa, FL 33612
  • Reassigned Medicare billing, Florida enrollment
  • 1,079 clinicians in this Medicare group
NPI 1538360425 (813) 821-8038

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 33612 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
$87.62 typical visit price
range $56.00 – $171.84
Typical copayment $21.90 (range $14.00 – $42.96)
Most-billed visit code 99203
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

ALBERTO JUAN DUBOY M.D.
Urology
12901 BRUCE B DOWNS BLVD, MDC 41
TAMPA, FL 33612
Hillsborough County (813) 259-8581
ELLEN VERENA JORGENSEN MD
Pediatrics (Pediatric Endocrinology)
12901 BRUCE B DOWNS BLVD, MDC 15
TAMPA, FL 33612
Hillsborough County (813) 974-2583
KRISTIN PATRICK MD
Obstetrics & Gynecology
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 974-0703
ORLANDO L RUANO DO
Psychiatry & Neurology (Psychiatry)
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 974-8900
ANDREA VALENTINA FARACO
Specialist/Technologist (Athletic Trainer)
12901 BRUCE B DOWNS BLVD, MDC 77
TAMPA, FL 33612
Hillsborough County (813) 396-9989
ROBERT V FARESE MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 974-2201
PHILIP SHENEFELT MD
Dermatology
12901 BRUCE B DOWNS BLVD, MDC 79
TAMPA, FL 33612
Hillsborough County (813) 974-2920
JANE NORMAN RD
Dietitian, Registered
12901 BRUCE B DOWNS BLVD
TAMPA, FL 33612
Hillsborough County (813) 974-2201

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 Luis Maldonado's NPI number?

The NPI number for Luis Maldonado is 1710997416. It was assigned to this individual provider in the NPPES registry on August 8, 2006.

Where is Luis Maldonado located?

Luis Maldonado practices at 12901 Bruce B Downs Blvd, Tampa, FL 33612. The listed phone number is (813) 259-8700.

What is Luis Maldonado's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Luis Maldonado enrolled in Medicare?

Yes. Luis Maldonado is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Luis Maldonado's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis Maldonado reassigns Medicare benefits to University Medical Service Association Inc (Tampa, FL). The 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 Luis Maldonado's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luis Maldonado accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Molina Healthcare and Oscar Health Maintenance Organization of Florida list Luis 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 Luis Maldonado was last updated on October 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.