Active NPI
David R Maldonado, MD
- Adult Reconstructive Orthopaedic Surgery Physician
- Houston, TX
National Provider Identifier
1083152938
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Reconstructive Orthopaedic Surgery Physician
- License
- T9178
- Practice address
- 6400 Fannin St Ste 1700
Houston, TX 77030-1526 - Phone
- (713) 486-5527
- NPI assigned
- Feb 10, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 1753 | CA | |
| Sports Medicine (Orthopaedic Surgery) Physician | 207XX0005X | T9178 | TX | |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | T9178 | TX | Primary |
Addresses
Primary practice location
6400 Fannin St Ste 1700
Houston, TX 77030-1526
Mailing address
6400 Fannin St Ste 1700
Houston, TX 77030-1526
Phone (713) 486-5527
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| T9178 | Other | TX | MEDICAL BOARD OF TEXAS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
5420 W Loop S
Suite 2400
Bellaire, TX 77401-2107
Phone (713) 486-3550
Hospital & facility affiliations
- Memorial Hermann - Texas Medical Center
- Memorial Hermann Memorial City Hospital
- Memorial Hermann Hospital System
- Memorial Hermann Katy Hospital
- Memorial Hermann Sugar Land Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.11 of 100
- Quality
- 69.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.63
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 11 |
| Knee replacement | 1-10 |
| Lower limb (leg) arthroscopy (minimally invasive joint repair) | 18 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| T9178 | TX | MD | Sports Medicine (Orthopaedic Surgery) Physician |
| 1753 | CA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Current | Accepting new patients | |
| Ut Physicians | Current | Accepting new patients |
Locations
5420 West Loop S
Ste 2400
Bellaire, TX 77401
Phone (713) 314-4600
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
6400 Fannin St
Ste 1700
Houston, TX 77030
Phone (713) 486-5527
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Houston, TX
- NPI 1033157821
-
- Health Educator
- Houston, TX
- NPI 1316534472
Hospital & facility affiliations 18
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sugar Land, TX
- NPI 1295788735
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Houston, TX
- NPI 1437189115
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1486684800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662940800000",
"number": "1083152938",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6400 FANNIN ST STE 1700",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301526",
"telephone_number": "713-486-5527"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6400 FANNIN ST STE 1700",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770301526",
"telephone_number": "713-486-5527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MALDONADO",
"first_name": "DAVID",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-02-10",
"last_updated": "2022-09-12",
"certification_date": "2022-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "1753",
"primary": false
},
{
"code": "207XX0005X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Sports Medicine",
"state": "TX",
"license": "T9178",
"primary": false
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "TX",
"license": "T9178",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL BOARD OF TEXAS",
"identifier": "T9178",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.