Individual provider Active NPI

Robert Maldonado Garza, MD

  • Internal Medicine Physician
  • Georgetown, TX
National Provider Identifier
1104997543
Registry record updated Feb 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G1403 Issued in TX
Practice address
3201 S Austin Ave
Suite 130
Georgetown, TX 78626-7545
Phone
(512) 863-7440
Fax
(512) 869-8716
NPI assigned
Nov 9, 2006
Last updated
Feb 2, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G1403 TX Primary

Addresses

Primary practice location

3201 S Austin Ave
Suite 130
Georgetown, TX 78626-7545

Mailing address

3201 S Austin Ave
Suite 130
Georgetown, TX 78626-7545
Phone (512) 863-7440

Other identifiers 3

IdentifierTypeStateIssuer
P00402354OtherTXRAIL ROAD MEDICARE
8V1928OtherTXBCBS
1264095MedicaidTX

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070726000761 TX Practitioner - Internal Medicine 3971604497 Reassigns benefits to 1 organization
Practice locations: Georgetown, TX

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Experts of Texas, P.a. CurrentSince Jan 20, 2015 Accepting new patients
Capital Area Primary Care, PLLC PastSince Dec 1, 2019 Accepting new patients
Nhue Ho MD PLLC Internal Medicine PastSince Nov 1, 2015 Accepting new patients
St. David's Specialized Women's Services, PLLC Past Accepting new patients

Locations

2725 Wind River Ln
Denton, TX 76210
Phone (940) 600-2266

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/10780/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/3648/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1163030400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422835200000",
    "number": "1104997543",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3201 S AUSTIN AVE",
            "address_2": "SUITE 130",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267545",
            "telephone_number": "512-863-7440",
            "fax_number": "512-869-8716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3201 S AUSTIN AVE",
            "address_2": "SUITE 130",
            "city": "GEORGETOWN",
            "state": "TX",
            "postal_code": "786267545",
            "telephone_number": "512-863-7440",
            "fax_number": "512-869-8716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARZA",
        "first_name": "ROBERT",
        "middle_name": "MALDONADO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-09",
        "last_updated": "2015-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G1403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAIL ROAD MEDICARE",
            "identifier": "P00402354",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8V1928",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1264095",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Georgetown, TX

Sources for this page

Verify at the official NPI Registry.