Martin Basaldua, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

F8007 Issued in TX

Practice address

23330 Hwy 59 N Ste 300
Kingwood, TX 77339-4471

Phone

(281) 359-3223

Fax

(281) 359-2089

NPI assigned

Jul 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

Specialty

Family Practice

Education

University of Texas Medical School at San Antonio, 1983

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Vytalus Medical Group, PLLCGroup PAC ID 9830215748, 5 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
• HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
• Tops Surgical Specialty Hospital Hospital, Houston, TX, CCN 450774

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: martin.basaldua.1@30157.direct.athenahealth.com
• Direct secure messaging: admin@basaldua-heller.e-mdsdirect.com

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.

• Vytalus Medical Group, PLLC

  • Family Medicine Physician
  • Kingwood, TX
  • NPI 1053631275

  Family Medicine, TX

  Medicare reassignment Care Compare group NPD
• Stephen F. Austin Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Alvin, TX
  • NPI 1578730818

  TX

  Medicare reassignment NPD
• Texienne Physicians Medical Association PLLC

  • Hematology & Oncology Physician
  • The Woodlands, TX
  • NPI 1679001200

  TX

  Medicare reassignment NPD
• Basaldua & Heller Family Practice

  • Family Medicine Physician
  • Humble, TX
  • NPI 1053463596

  Family Medicine

  NPD
• Stephen F Austin Community Health Center,Inc

  • Federally Qualified Health Center (FQHC)
  • Bacliff, TX
  • NPI 1962986562
  NPD
• Kingwood Family Medicine, PA

  • Primary Care Clinic/Center
  • Kingwood, TX
  • NPI 1851318729
  NPD (past)
• Texas Gulf Coast Medical System, Inc

  • Family Medicine Physician
  • Webster, TX
  • NPI 1962512160

  Family Medicine

  NPD (past)
• Utmb Faculty Group Practice

  • General Practice Physician
  • Galveston, TX
  • NPI 1942241146
  NPD (past)

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

• KPH-Consolidation, Inc.

  • General Acute Care Hospital
  • Kingwood, TX
  • NPI 1811942238

  Hospital

  Care Compare affiliation
• Memorial Hermann Health System

  • General Acute Care Hospital
  • Humble, TX
  • NPI 1295843787

  Hospital

  Care Compare affiliation
• Tops Specialty Hospital, LTD.

  • General Acute Care Hospital
  • Houston, TX
  • NPI 1144203662

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716940800000",
    "number": "1609809391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23330 HWY 59 N STE 300",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394471",
            "telephone_number": "281-359-3223",
            "fax_number": "281-359-2089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23330 HWY 59 N STE 300",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773394471",
            "telephone_number": "281-359-3223",
            "fax_number": "281-359-2089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BASALDUA",
        "first_name": "MARTIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-08",
        "last_updated": "2024-05-29",
        "certification_date": "2024-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "F8007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "080031995",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "martin.basaldua.1@30157.direct.athenahealth.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "23330 Hwy 59 N Ste 300",
            "city": "Kingwood",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773394471",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittany Keahey Barrington, AU.D.
• James Barton, MD
• Carl Bartz, OTR
• Baruch Surgical Assistant
• Baruch Surgical Assistants Inc
• Nareeman Ali Hussien Bashatwah, NP
• Tamaura Baughman, APRN
• Jerry W Bautsch, DDS
• Kyle Bautsch
• Bayada Home Health Care, Inc.

• All providers in Kingwood, TX
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.