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DR. JONATHAN A ALBERT M.D.
NPI 1811027675
Internal Medicine in Kyle, TX

Active since March 07, 2007PECOS EnrolledAccepts Medicare Assignment
19220 IH 35 STE 300, KYLE, TX 78640(737) 265-3964(888) 972-1912 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jonathan A Albert M.d. NPPES

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

DR. JONATHAN A ALBERT M.D. (NPI 1811027675) is an individual internal medicine provider in Kyle, Texas, licensed in Texas (S8516) and active in the NPI registry since March 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Palm Beach, and is a graduate of Other (2001).

NPPES Registry Identity

NPI1811027675
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. JONATHAN A ALBERTCredential: M.D.
Location Address19220 IH 35 STE 300Kyle, TX 78640-3217
Mailing Address2920 Telegraph Ave Ste 100Berkeley, CA 94705-2031 · (415) 549-0212
Phone(737) 265-3964
Fax(888) 972-1912
Sole ProprietorNo
Medical School CMSOtherGraduated 2001
Enumeration DateMarch 7, 2007
Last NPPES UpdateJuly 7, 2023
NPPES CertifiedJuly 7, 2023
✔ NPI 1811027675 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in TX · S8516✔ Licensed in FL · ME114981
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPediatricsTaxonomy 208000000X · License ME114981 (FL)
19220 IH 35 STE 300, Kyle, TX 78640
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Secondary Practice Location 1

Location 12875 S Ocean Blvd, Suite 208Palm Beach, FL 33480-5590 · Phone (561) 588-0411 · Fax (561) 588-0919

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections 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 and accepts Medicare assignment

Dr. Jonathan A Albert 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 ID4082630496
PECOS Enrollment IDI20051014000580, I20130529000461, I20230824000103
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 Reassignments

7

Medicare enrollment records show Jonathan Albert reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Carbon Health Urgent Care Of Texas PLLC
17 mi
Urgent Care
3300 BEE CAVES RD STE 440
West Lake Hills, TX 78746
  • Reassigned Medicare billing, Texas enrollment
  • 5 clinicians in this Medicare group
NPI 1609707868 (737) 292-3554
Carbon Health Medical Group Of Florida PA
26 mi
Urgent Care
9722 GREAT HILLS TRL STE 375
Austin, TX 78759
  • Reassigned Medicare billing, Texas, Colorado, Florida and Washington enrollments
  • Also billed through NPI 1730781691 (Colorado), NPI 1942812763 (Florida), NPI 1689249096 (Washington)
  • 50 clinicians in this Medicare group
NPI 1477155331 (512) 910-3932
Carbon Health Urgent Care Of Colorado PC
768 mi
Urgent Care
6554 S PARKER RD
Aurora, CO 80016
  • Reassigned Medicare billing, Colorado enrollment
  • 9 clinicians in this Medicare group
NPI 1720919764 (720) 615-3736
Carbon Health Primary Care Of California PC
1,497 mi
Multi-Specialty
2920 TELEGRAPH AVE STE 100
Berkeley, CA 94705
  • Reassigned Medicare billing, California enrollment
  • 21 clinicians in this Medicare group
NPI 1972057990 (510) 686-3621
Central Jersey Urgent Care
1,514 mi
Urgent Care
731 HIGHWAY 35, UNIT G
Ocean, NJ 07712
  • Reassigned Medicare billing, New Jersey enrollment
  • 130 clinicians in this Medicare group
NPI 1316285091 (732) 455-8444
Carbon Health Medical Group Of Washington PC
1,759 mi
Urgent Care
10221 156TH ST E STE P1-102
Puyallup, WA 98374
  • Reassigned Medicare billing, Washington enrollment
  • 14 clinicians in this Medicare group
NPI 1831900422 (253) 292-5297
Carbon Health Primary Care Of Washington PC
1,759 mi
Family Medicine
10221 156TH ST E STE P1-102
Puyallup, WA 98374
  • Reassigned Medicare billing, Washington enrollment
  • 3 clinicians in this Medicare group
NPI 1396696522 (253) 292-5297

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 2

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.
29 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
27 services27 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
$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.

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

Adult Sinusitis: Computerized Tomography (CT) for Acute Sinusitis (Overuse)
Percentage of patients aged 18 years and older with a diagnosis of acute sinusitis who had a computerized tomography (CT) scan of the paranasal sinuses ordered at the time of diagnosis or received within 28 days after date of diagnosis
Lower rates are better for this measure.
7%71 patients
Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
78%365 patients4/55-star benchmark: 92%
Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
87%422 patients4/55-star benchmark: 100%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
72%758 patients4/55-star benchmark: 85%
Diabetes: Eye Exam
Percentage of patients 18-75 years of age with diabetes who had a retinal or dilated eye exam by an eye care professional during the measurement period or a negative retinal exam (no evidence of retinopathy) in the 12 months prior to the measurement period
49%124 patients2/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%3,035 patients5/55-star benchmark: 100%
e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%5,487 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
24%1,038 patients2/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
99%574 patients4/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
90%1,512 patients4/55-star benchmark: 97%
Preventive Care and Screening: Influenza Immunization
Percentage of patients aged 6 months and older seen for a visit between October 1 and March 31 who received an influenza immunization OR who reported previous receipt of an influenza immunization
26%942 patients2/55-star benchmark: 88%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
96%1,512 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
53%1,512 patients3/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
57%1,512 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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 Jonathan Albert's NPI number?

The NPI number for Jonathan Albert is 1811027675. It was assigned to this individual provider in the NPPES registry on March 7, 2007.

Where is Jonathan Albert located?

Jonathan Albert practices at 19220 Ih 35 Ste 300, Kyle, TX 78640. The listed phone number is (737) 265-3964.

What is Jonathan Albert's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Jonathan Albert enrolled in Medicare?

Yes. Jonathan Albert 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 Jonathan Albert's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Albert reassigns Medicare benefits to 7 organizations: Carbon Health Urgent Care Of Texas PLLC (West Lake Hills, TX), Carbon Health Medical Group Of Florida PA (Austin, TX), Carbon Health Urgent Care Of Colorado PC (Aurora, CO), Carbon Health Primary Care Of California PC (Berkeley, CA), Central Jersey Urgent Care (Ocean, NJ) and 2 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 Jonathan Albert's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jonathan Albert 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 Jonathan Albert 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 Jonathan Albert was last updated on July 7, 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.