DR. LUIS GASPAR MADURO JR. M.D.
NPI 1881813079
Family Medicine in Southfield, MI

Q: What is Luis Maduro's NPI number?

The NPI number for Luis Maduro is 1881813079. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Q: What is Luis Maduro's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Luis Maduro was last updated on May 4, 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.

Active since April 25, 2007PECOS Enrolled

18161 W 13 MILE RD, SOUTHFIELD, MI 48076(248) 480-4183(248) 792-2631 Get Directions Write a Review

NPPES record last updated: May 4, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 4, 2021, Jan 13, 2021 (2 updates tracked since 2021).

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About Dr. Luis Gaspar Maduro Jr. M.d. NPPES

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

DR. LUIS GASPAR MADURO JR. M.D. (NPI 1881813079) is an individual family medicine provider in Southfield, Michigan, licensed in Puerto Rico (12074) and active in the NPI registry since April 2007. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1881813079

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameDR. LUIS GASPAR MADURO JR.Credential: M.D.

Location Address18161 W 13 MILE RDSouthfield, MI 48076

Mailing Address18161 W 13 Mile RdSouthfield, MI 48076-1113 · (248) 480-4183

Phone(248) 480-4183

Fax(248) 792-2631

Sole ProprietorYes

Enumeration DateApril 25, 2007

Last NPPES UpdateMay 4, 20212 updates tracked since enumeration

NPPES CertifiedMay 4, 2021

✔ NPI 1881813079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PR · 12074

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.

18161 W 13 MILE RD, Southfield, MI 48076

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Secondary Practice Locations 2

Location 17649 W Vernor HwyDetroit, MI 48209-1513 · Phone (313) 841-0395

Location 2808 Livernois StFerndale, MI 48220-2309 · Phone (248) 439-0557 · Fax (248) 439-0558

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Luis Gaspar Maduro Jr. M.d. 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 Reassignments

Medicare enrollment records show Luis Maduro reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Theoria Medical

12 mi

Internal Medicine

41800 W 11 MILE RD STE 109
Novi, MI 48375

Reassigned Medicare billing, Michigan enrollment
383 clinicians in this Medicare group

NPI 1609362375 (248) 860-4634

Round Valley Indian Health Center, Inc.

2,076 mi

Clinic/Center

24065 BIGGAR LANE
Covelo, CA 95428

Reassigned Medicare billing, California enrollment
31 clinicians in this Medicare group

NPI 1669532750 (707) 983-6404

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 48076 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$102.35 typical visit price

range $18.32 – $143.49

Typical copayment $25.58 (range $4.58 – $35.87)

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.

TOTAL RECOVERY PHYSICAL THERAPY LLC

Specialist

18161 W 13 MILE RD, SUITE E 3
SOUTHFIELD, MI 48076

Oakland County (248) 792-3338

DR. WISSAM ALAWIEH PHARM.D.

Pharmacist

18161 W 13 MILE RD, A1
SOUTHFIELD, MI 48076

Oakland County (248) 419-1776

MICHIGAN COLON & RECTAL SURGEONS, PC

Colon & Rectal Surgery

18161 W 13 MILE RD, SUITE A1
SOUTHFIELD, MI 48076

Oakland County (248) 644-3711

MARGARITA PENA MD

Emergency Medicine

18161 W 13 MILE RD, SUITE A-2
SOUTHFIELD, MI 48076

Oakland County (248) 642-9893

PAUL SCHWARZ PA

Physician Assistant

18161 W 13 MILE RD, SUITE A-2
SOUTHFIELD, MI 48076

Oakland County (248) 642-9893

RAYMOND RUDONI MD

Emergency Medicine

18161 W 13 MILE RD, SUITE A-2
SOUTHFIELD, MI 48076

Oakland County (248) 642-9893

DR. LORI SUE DUNCAN DPM

Podiatrist

18161 W 13 MILE RD, #D2
SOUTHFIELD, MI 48076

Oakland County (248) 258-0001

DAVIN REHAB SERVICES.INC

Physical Therapist

18161 W 13 MILE RD, SUIT A-2
SOUTHFIELD, MI 48076

Oakland County (248) 819-6413

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 Maduro's NPI number?

The NPI number for Luis Maduro is 1881813079. It was assigned to this individual provider in the NPPES registry on April 25, 2007.

Where is Luis Maduro located?

Luis Maduro practices at 18161 W 13 Mile Rd, Southfield, MI 48076. The listed phone number is (248) 480-4183.

What is Luis Maduro's specialty?

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

Is Luis Maduro enrolled in Medicare?

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

Which organizations bill Medicare for Luis Maduro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis Maduro reassigns Medicare benefits to 2 organizations: Theoria Medical (Novi, MI) and Round Valley Indian Health Center, Inc. (Covelo, CA). 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 Luis Maduro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luis Maduro accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan and Ambetter from Meridian list Luis Maduro 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 Maduro was last updated on May 4, 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.