Active NPI
Amanda B. Reed-Maldonado, MD
- Urology Physician
- Fort Sam Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- T2735
- Practice address
- 3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504 - Phone
- (210) 539-9582
- NPI assigned
- Jan 9, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD-20325 | HI | |
| Urology Physician | 208800000X | MD60746380 | WA | |
| Urology Physician | 208800000X | T2735 | TX | Primary |
Addresses
Primary practice location
3551 Roger Brooke Dr
Fort Sam Houston, TX 78234-4504
Mailing address
3551 Roger Brooke Dr
San Antonio, TX 78234-4504
Phone (210) 916-7884
Other practice location 1
Madigan Army Medical Center
Tacoma, WA 98431-2028
Phone (253) 968-2300
Other practice location 2
1 Jarrett White Rd
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-2595 ext. 4
Other practice location 3
1100 Wilford Hall Loop Bldg 4554
Jbsa Lackland, TX 78236-5638
Phone (210) 539-9582
Other practice location 4
820 N Chelan Ave
Wenatchee, WA 98801-2028
Phone (509) 663-8711
Other names 1
- Dr. Amanda B. Reed-Maldonado
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-20325 | HI | MD | Urology Physician |
| T2735 | TX | MD | Urology Physician |
| MD60746380 | WA | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Multicare Health System | Current | Accepting new patients | |
| Multicare Health System | Current | Accepting new patients | |
| University of California SFGH Medical Group | Current | Accepting new patients | |
| University of California SFGH Medical Group | Urology | Current | Accepting new patients |
| Multicare Health System | Current | Accepting new patients |
Locations
1001 Potrero Ave
Rm 3A20
San Francisco, CA 94110
Phone (415) 206-8806
4700 Point Fosdick Dr
Ste 104
Gig Harbor, WA 98335
Phone (253) 459-7590
222 State Ave N
Kent, WA 98030
Phone (253) 372-7680
317 Martin Luther King Jr Way
Tacoma, WA 98405
Phone (253) 403-1400
315 S K St
Tacoma, WA 98405
Phone (253) 403-1291
Organizations & group practices 5
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.
-
- Neurological Surgery Physician
- Tacoma, WA
- NPI 1497766638
-
- Urology Physician
- San Francisco, CA
- NPI 1407821465
-
- Family Medicine Physician
- Auburn, WA
- NPI 1013969195
-
- Community/Retail Pharmacy
- Spokane, WA
- NPI 1396594875
-
- Vascular Surgery Physician
- San Francisco, CA
- NPI 1033913959
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1199836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1670284800000",
"number": "1255516142",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-7884",
"fax_number": "210-916-5076"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DR",
"city": "FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-539-9582"
}
],
"practiceLocations": [
{
"address_1": "Madigan Army Medical Center",
"address_purpose": "LOCATION",
"city": "Tacoma",
"state": "WA",
"postal_code": "984312028",
"country_code": "US",
"telephone_number": "253-968-2300",
"fax_number": "253-968-2895",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Jarrett White Rd",
"address_purpose": "LOCATION",
"city": "Tripler Army Medical Center",
"state": "HI",
"postal_code": "968595001",
"country_code": "US",
"telephone_number": "808-433-2595 x4",
"fax_number": "808-433-7149",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1100 Wilford Hall Loop Bldg 4554",
"address_purpose": "LOCATION",
"city": "Jbsa Lackland",
"state": "TX",
"postal_code": "782365638",
"country_code": "US",
"telephone_number": "210-539-9582",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "820 N Chelan Ave",
"address_purpose": "LOCATION",
"city": "Wenatchee",
"state": "WA",
"postal_code": "988012028",
"country_code": "US",
"telephone_number": "509-663-8711",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REED-MALDONADO",
"first_name": "AMANDA",
"middle_name": "B.",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-01-09",
"last_updated": "2022-12-06",
"certification_date": "2022-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "HI",
"license": "MD-20325",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "WA",
"license": "MD60746380",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "TX",
"license": "T2735",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMANDA",
"last_name": "REED-MALDONADO",
"middle_name": "B.",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.