Individual provider Active NPI

Minda Lao Toledo, M.D.

  • Pediatrics Physician
  • Nederland, TX
National Provider Identifier
1104812791
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
M2487 Issued in TX
Practice address
2400 Highway 365 Ste 107
Nederland, TX 77627-6268
Phone
(409) 729-9200
Fax
(409) 729-9235
NPI assigned
Sep 20, 2005
Last updated
Jun 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M2487 TX
Pediatrics Physician 208000000X M2487 TX Primary

Addresses

Primary practice location

2400 Highway 365 Ste 107
Nederland, TX 77627-6268

Mailing address

2400 Highway 365 Ste 107
Nederland, TX 77627-6268
Phone (409) 729-9200

Other practice location 1

8333 9TH Avenue
Suite B
Port Arthur, TX 77642
Phone (409) 729-9200

Other identifiers 7

IdentifierTypeStateIssuer
178297101MedicaidTX
178296302MedicaidTX
M2487OtherTXLIC NO.
178296301MedicaidTX
1417006735OtherTXGROUP NPI
1720761075OtherGROUP NPI
20-3418877OtherTXTAX ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M2487TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Texas Pediatric Center PA Pediatrics PastSince Aug 13, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEJEBA/Endpoint/HEJEBA

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1104812791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2400 HIGHWAY 365 STE 107",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276268",
            "telephone_number": "409-729-9200",
            "fax_number": "409-729-9235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 HIGHWAY 365 STE 107",
            "city": "NEDERLAND",
            "state": "TX",
            "postal_code": "776276268",
            "telephone_number": "409-729-9200",
            "fax_number": "409-729-9235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8333 9TH AVENUE",
            "address_2": "SUITE B",
            "address_purpose": "LOCATION",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "77642",
            "country_code": "US",
            "telephone_number": "409-729-9200",
            "fax_number": "409-729-9235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TOLEDO",
        "first_name": "MINDA",
        "middle_name": "LAO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-20",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M2487",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "M2487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178297101",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178296302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC NO.",
            "identifier": "M2487",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178296301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1417006735",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1720761075",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "20-3418877",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nederland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.