NPIMap

Individual provider Active NPI

Ricardo Alberto Baltodano, M.D.

  • Nephrology Physician
  • McAllen, TX
National Provider Identifier
1376705244
Registry record updated Nov 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
P4734 Issued in TX
Practice address
1901 S 1St St
Ste. 600
McAllen, TX 78503-1228
Phone
(956) 631-6136
Fax
(956) 631-1848
NPI assigned
Jul 1, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X P4734 TX Primary

Addresses

Primary practice location

1901 S 1St St
Ste. 600
McAllen, TX 78503-1228

Mailing address

1901 S 1St St
Ste. 600
McAllen, TX 78503-1228
Phone (956) 631-6136

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130821000988 TX Practitioner - NephrologyPractitioner - Internal Medicine 9133362213 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Texas Nephrology PLLCGroup PAC ID 8820403512, 6 clinicians
South Texas Kidney Specialists, P.a.Group PAC ID 9234118837, 15 clinicians

Practice addresses (Care Compare)

1080 E Los Ebanos Blvd
Suite a
Brownsville, TX 78520-9988
Phone (956) 542-3472

1901 S 1St St
McAllen, TX 78503-1228
Phone (956) 631-6136

Hospital & facility affiliations

  • Fresenius Medical Care Rio Grande City Dialysis facility, Rio Grande City, TX, CCN 452666
  • FKC North Edinburg Dialysis facility, Edinburg, TX, CCN 742593
  • Fresenius Medical Care McAllen Dialysis facility, McAllen, TX, CCN 452508
  • FKC Valley Hemodialysis Center Dialysis facility, Brownsville, TX, CCN 452517
  • DaVita Dialysis Care of McAllen Dialysis facility, McAllen, TX, CCN 452654
  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869
  • South Texas Health System Hospital, Edinburg, TX, CCN 450119
  • Mission Regional Medical Center Hospital, Mission, TX, CCN 450176
  • Valley Regional Medical Center Hospital, Brownsville, TX, CCN 450662
  • Rio Grande Regional Hospital Hospital, McAllen, TX, CCN 450711

Merit-based Incentive Payment System (MIPS)

Final score
95.39 of 100Reported as group
Quality
80.02
Promoting interoperability
96
Improvement activities
40
Cost
74.61

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P4734TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Texas Nephrology PLLC Nephrology CurrentSince Jan 1, 2021 Accepting new patients
South Texas Kidney Specialists, P.a. CurrentSince Nov 16, 2015 Accepting new patients

Locations

1080 E Los Ebanos Blvd
#A
Brownsville, TX 78520
Phone (956) 212-7984

1901 S 1st St
Ste 600
McAllen, TX 78503
Phone (956) 631-6136

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/23149/brand/1/csg/1/fhir/r4
  • Direct secure messaging: ricardobaltodano@stks.allscriptsdirect.net
  • Direct secure messaging: ricardo.baltodano.1@23149.direct.athenahealth.com

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448841600000",
    "number": "1376705244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 S 1ST ST",
            "address_2": "STE. 600",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031228",
            "telephone_number": "956-631-6136",
            "fax_number": "956-631-1848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 S 1ST ST",
            "address_2": "STE. 600",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031228",
            "telephone_number": "956-631-6136",
            "fax_number": "956-631-1848"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BALTODANO",
        "first_name": "RICARDO",
        "middle_name": "ALBERTO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-01",
        "last_updated": "2015-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "P4734",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McAllen, TX

Sources for this page

Verify at the official NPI Registry.