Individual provider Active NPI

Maria Monette Salalima Regalado, M.D.

  • Specialist
  • Laredo, TX
National Provider Identifier
1407818149
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
L3797 Issued in TX
Practice address
10710 McPherson Rd Ste 203
Laredo, TX 78045-6363
Phone
(956) 717-8600
Fax
(956) 725-8043
NPI assigned
Apr 6, 2006
Last updated
Nov 29, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X L3797 TX Primary

Addresses

Primary practice location

10710 McPherson Rd Ste 203
Laredo, TX 78045-6363

Mailing address

PO Box 452088
Laredo, TX 78045-0051
Phone (956) 717-8600

Other identifiers 3

IdentifierTypeStateIssuer
173509401MedicaidTX
L3797OtherTXTEXAS LICENSE #
0018MPOtherTXBLUECROSS BLUE SHIELD

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
I20050601001082 TX Practitioner - NephrologyPractitioner - Internal Medicine 6406899392 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10710 McPherson Rd
Suite 203
Laredo, TX 78045-6363
Phone (956) 717-8600

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Maria Monette Regalado M.D. CurrentSince Apr 14, 2005 Accepting new patients
Transtreme, LLC Past Accepting new patients
Cardiology Clinic of Muskogee, Inc. Past Accepting new patients

Locations

10710 McPherson Rd
Ste 203
Laredo, TX 78045
Phone (956) 717-8600

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/3442/brand/1/csg/61/fhir/r4

Organizations & group practices 3

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.

Hospital & facility affiliations 3

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

NPI Registry JSON

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

{
    "created_epoch": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196294400000",
    "number": "1407818149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 452088",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780450051",
            "telephone_number": "956-717-8600",
            "fax_number": "956-725-8043"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 MCPHERSON RD STE 203",
            "city": "LAREDO",
            "state": "TX",
            "postal_code": "780456363",
            "telephone_number": "956-717-8600",
            "fax_number": "956-725-8043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGALADO",
        "first_name": "MARIA MONETTE",
        "middle_name": "SALALIMA",
        "name_prefix": "Miss",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-06",
        "last_updated": "2007-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "L3797",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "173509401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS LICENSE #",
            "identifier": "L3797",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "0018MP",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Laredo, TX

Sources for this page

Verify at the official NPI Registry.