Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

PAUL ALBERTO M.D.
NPI 1891734778
Internal Medicine in Houston, TX

Q: What is Paul Alberto's NPI number?

The NPI number for Paul Alberto is 1891734778. It was assigned to this individual provider in the NPPES registry on June 6, 2006.

Q: What is Paul Alberto's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Paul Alberto was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 46 days 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 June 06, 2006PECOS Enrolled

79.1/100

CMS Quality Rating

18333 EGRET BAY BLVD STE 140, HOUSTON, TX 77058(281) 332-3001(281) 332-3005 Get Directions Write a Review

NPPES record last updated: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 11, 2026, May 9, 2024, Aug 11, 2020 and 1 more (4 updates tracked since 2019).

On this page

About Paul Alberto M.d. NPPES

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

PAUL ALBERTO M.D. (NPI 1891734778) is an individual internal medicine provider in Houston, Texas, licensed in Texas (L2786) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Texas Medical Branch Galveston, and maintains 4 additional practice locations.

NPPES Registry Identity

NPI1891734778

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NamePAUL ALBERTOCredential: M.D.

Location Address18333 EGRET BAY BLVD STE 140Houston, TX 77058-3239

Mailing Address18333 Egret Bay Blvd Ste 140Houston, TX 77058-3239 · (281) 332-3001 · Fax (281) 332-3005

Phone(281) 332-3001

Fax(281) 332-3005

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateJune 6, 2006

Last NPPES UpdateJune 23, 20264 updates tracked since enumeration

NPPES CertifiedJune 23, 2026

✔ NPI 1891734778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in TX · L2786

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 ListedHospitalistTaxonomy 208M00000X · License L2786 (TX)

18333 EGRET BAY BLVD STE 140, Houston, TX 77058

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Secondary Practice Locations 4

Location 1500 W Medical Center BlvdWebster, TX 77598-4220 · Phone (281) 332-2511

Location 211800 Astoria BlvdHouston, TX 77089-6041 · Phone (281) 929-6100

Location 318300 Houston Methodist DrHouston, TX 77058-6302 · Phone (281) 523-2000

Location 44545 Post Oak Place Dr, Suite 130Houston, TX 77027-3164 · Phone (713) 960-8008 · Fax (713) 960-0965

Other Identifiers 3

Medicaid161572608TX

Medicaid161572609TX

Other8HN425TX · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Blue Cross and Blue Shield of Texas and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Alberto M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9739237876

PECOS Enrollment IDI20101018000910

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 4

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 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.

471 services164 patients

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.

118 services49 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

79 services76 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.

76 services72 patients

Hospital Affiliations CMS Care Compare 2

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

University Of Texas Medical Branch Galveston

Acute Care Hospitals · Galveston, TX

3/5 CMS rating

OwnershipGovernment - State

CMS Certification Number450018

Location301 University BoulevardGalveston, TX 77555 · Galveston County

Emergency services Birthing friendly

Hca Houston Healthcare Clear Lake

Acute Care Hospitals · Webster, TX

3/5 CMS rating

OwnershipProprietary

CMS Certification Number450617

Location500 W Medical Center BlvdWebster, TX 77598 · Harris County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 77058 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

$134.06 typical visit price

range $58.24 – $176.98

Typical copayment $33.51 (range $14.56 – $44.24)

Most-billed visit code 99204

Established Patient

$102.71 typical visit price

range $18.60 – $143.93

Typical copayment $25.67 (range $4.65 – $35.98)

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.

79.1/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

92.84

Improvement Activities

Cost

76.82

Referred Medical Equipment & Supplies CMS DME claims 6

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

3 suppliers62 claims62 services$41.67 avg. paid by Medicare

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

4 suppliers39 claims39 services$14.75 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

5 suppliers48 claims48 services$65.53 avg. paid by Medicare

Manual wheelchair accessory, nonstandard seat frame, width greater than or equal to 20 inches and less than 24 inches E2201

DME-Wheelchairs · category DD021N

1 supplier21 claims21 services$25.79 avg. paid by Medicare

Standard wheelchair K0001

DME-Wheelchairs · category DD000N

2 suppliers98 claims98 services$13.65 avg. paid by Medicare

Lightweight wheelchair K0003

DME-Wheelchairs · category DD000N

2 suppliers39 claims39 services$20.76 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 18

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

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