Kelly Marie Basaldua, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

P6137 Issued in TX

Practice address

7810 Louis Pasteur Dr Ste 200
San Antonio, TX 78229-3409

Phone

(210) 465-1800

Fax

(210) 899-1006

NPI assigned

Apr 22, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Baylor College of Medicine

  • Pediatrics Physician
  • San Antonio, TX
  • NPI 1285079764
  Medicare reassignment NPD
• Here We Grow Pediatrics

  • Pediatrics Physician
  • San Antonio, TX
  • NPI 1962160457
  NPD
• Southwest Childrens Center, PA

  • Specialist
  • San Antonio, TX
  • NPI 1285638130
  NPD (past)

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

{
    "created_epoch": "1271894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1781481600000",
    "number": "1396062964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7810 LOUIS PASTEUR DR STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293409",
            "telephone_number": "210-465-1800",
            "fax_number": "210-899-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7810 LOUIS PASTEUR DR STE 200",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293409",
            "telephone_number": "210-465-1800",
            "fax_number": "210-899-1006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9150 Huebner Rd Ste 155",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782401598",
            "country_code": "US",
            "telephone_number": "210-465-1800",
            "fax_number": "210-899-1006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BASALDUA",
        "first_name": "KELLY",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-22",
        "last_updated": "2026-06-15",
        "certification_date": "2026-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P6137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madeleine Rose Bartrug, MPAS, PA-C
• Ruprekha Baruah, LCSW
• Deborah Lynn Baruch-Bienen, M.D.
• Kendra Rae Barycki, CNIM
• Isabel Basaldu-Prado, MD
• Dirk Basco, BSN, RN
• Raymond Basco
• Lindsay Bascom
• Georjeanne Bascos
• Baseline Neuromonitoring PLLC

• Pediatrics Physician in San Antonio, TX
• Providers in San Antonio, TX by specialty
• Pediatrics Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2026; 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.

Verify at the official NPI Registry.