FERNANDO MADERO GOROSTIETA M.D.
NPI 1720219637
Hospitalist in The Woodlands, TX
About Fernando Madero Gorostieta M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FERNANDO MADERO GOROSTIETA M.D. (NPI 1720219637) is an individual hospitalist provider in The Woodlands, Texas, licensed in Massachusetts (251415) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with St Luke's The Woodlands Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted 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
Fernando Madero Gorostieta 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.
Medicare Billing Reassignments
16Medicare enrollment records show Fernando Madero Gorostieta reassigns Medicare billing to 16 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Humble, TX 77338
- Reassigned Medicare billing, Oklahoma and Texas enrollments
- 284 clinicians in this Medicare group
Houston, TX 77025
- Reassigned Medicare billing, Texas enrollment
- 1,649 clinicians in this Medicare group
Houston, TX 77030
- Reassigned Medicare billing, Texas enrollment
- 2,554 clinicians in this Medicare group
Fulshear, TX 77441
- Reassigned Medicare billing, Texas enrollment
- 1,235 clinicians in this Medicare group
Dyersburg, TN 38024
- Reassigned Medicare billing, Tennessee enrollment
- 142 clinicians in this Medicare group
Bridgeton, MO 63044
- Reassigned Medicare billing, Illinois and Missouri enrollments
- 419 clinicians in this Medicare group
Cleveland, TN 37312
- Reassigned Medicare billing, Tennessee enrollment
- 21 clinicians in this Medicare group
Terre Haute, IN 47804
- Reassigned Medicare billing, Indiana enrollment
- 384 clinicians in this Medicare group
Jesup, GA 31545
- Reassigned Medicare billing, Tennessee enrollment
- 14 clinicians in this Medicare group
Cedar Rapids, IA 52403
- Reassigned Medicare billing, Iowa enrollment
- 153 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Luke's The Woodlands Hospital
Acute Care Hospitals · The Woodlands, TXPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 77384 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
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.
THE WOODLANDS, TX 77384
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 Fernando Madero Gorostieta's NPI number?
The NPI number for Fernando Madero Gorostieta is 1720219637. It was assigned to this individual provider in the NPPES registry on July 27, 2009.
Where is Fernando Madero Gorostieta located?
Fernando Madero Gorostieta practices at 17200 St Lukes Way, The Woodlands, TX 77384. The listed phone number is (281) 587-5087.
What is Fernando Madero Gorostieta's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Fernando Madero Gorostieta enrolled in Medicare?
Yes. Fernando Madero Gorostieta 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 Fernando Madero Gorostieta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Fernando Madero Gorostieta reassigns Medicare benefits to 16 organizations: Hospitalist Medicine Physicians Of Texas, PLLC (Humble, TX), Kelsey-Seybold Medical Group, PLLC (Houston, TX), Baylor College Of Medicine (Houston, TX), Memorial Hermann Medical Group (Fulshear, TX), Cogent Healthcare Of Tennessee, PC (Dyersburg, TN) and 11 more organizations, listed in the Medicare section above. 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 Fernando Madero Gorostieta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Fernando Madero Gorostieta 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 6 other insurers list Fernando Madero Gorostieta 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 Fernando Madero Gorostieta affiliated with any hospitals?
According to CMS data, Fernando Madero Gorostieta is affiliated with St Luke's The Woodlands Hospital.
When was this NPI record last updated?
The NPPES record for Fernando Madero Gorostieta was last updated on June 17, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.
# Fernando Madero Gorostieta, M.D. · NPI 1720219637
Hospitalist physician in The Woodlands, Texas. Individual provider, active in the CMS NPPES registry since July 27, 2009.
## Identity
- **NPI:** 1720219637 (Entity type: Individual)
- **Enumerated:** July 27, 2009
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 251415 (Massachusetts)
- **Sole proprietor:** No
## Practice location
- **Address:** 17200 ST LUKES WAY, The Woodlands, TX 77384-8007
- **Phone:** (281) 587-5087
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 16 organizations under Medicare reassignment (form CMS-855R): Hospitalist Medicine Physicians Of Texas, PLLC (NPI 1629307095, Humble, TX); Kelsey-Seybold Medical Group, PLLC (NPI 1013915255, Houston, TX); Baylor College Of Medicine (NPI 1881026664, Houston, TX); Memorial Hermann Medical Group (NPI 1003985102, Fulshear, TX); Cogent Healthcare Of Tennessee, PC (NPI 1952654246, Dyersburg, TN); and 11 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** June 17, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1720219637) · Data from the CMS NPPES public registry.