ALFONSO ALDAMA MD
NPI 1164415170
Neurological Surgery in Houston, TX

NPI Status: Active since August 24, 2005

Contact Information

6560 FANNIN ST
1200
HOUSTON, TX
ZIP 77030
Phone: (713) 790-1211

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  • Individual
  • Male
  • Years of Experience 52
  • Neurological Surgery
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ALFONSO ALDAMA

This page provides the complete NPI Profile along with additional information for Alfonso Aldama, a provider established in Houston, Texas with a medical specialization in Neurological Surgery and more than 52 years of experience. He graduated from Baylor College Of Medicine in 1974. The healthcare provider is registered in the NPI registry with number 1164415170 assigned on August 2005. The practitioner's primary taxonomy code is 207T00000X with license number MDE7545 (TX). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1164415170
Provider Name
ALFONSO ALDAMA MD
Gender
Male
Entity Type
Individual
Location Address
6560 FANNIN ST 1200 HOUSTON, TX 77030
Location Phone
(713) 790-1211
Mailing Address
6560 FANNIN ST SUITE 1200 HOUSTON, TX 77030
Mailing Phone
(713) 790-1211
Mailing Fax
Medical School Name
BAYLOR COLLEGE OF MEDICINE
Graduation Year
1974
Is Sole Proprietor?
No
Enumeration Date
08-24-2005
Last Update Date
07-08-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Neurological Surgery

Taxonomy Code
207T00000X
Type
Allopathic & Osteopathic Physicians
License No.
MDE7545
License State
TX
Taxonomy Description
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
00U17UMEDICARE ID-TYPE UNSPECIFIED (04)TX 
C12661MEDICARE UPIN (02)TX 
84Z191OTHER (01)TXBC/BS OF TEXAS

Medicare Participation & PECOS Enrollment Status

Alfonso Aldama is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Alfonso Aldama is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8123124997

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20100305000452

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 21 times for 18 patients

Established patient office or other outpatient visit, 30-39 minutes

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

This service was performed 11 times for 11 patients

Fusion of lower spine bone through abdomen with partial removal of disc

This procedure involves merging the bones in your lower spine through an abdominal approach. A portion of the disc, which acts like a cushion between your vertebrae, is partially removed. The goal is to alleviate back pain by limiting movement in the problem area of your spine.

This service was performed 12 times for 11 patients

Insertion of cage or mesh device to spine bone and disc space during spine fusion

Spine fusion is a procedure to join two or more vertebrae. During this process, a cage or mesh device is inserted into the spine bone and disc space. This helps to stabilize the spine, reduce pain, and improve functionality. The device acts as a bridge for new bone to grow on.

This service was performed 25 times for 18 patients

Laminectomy or laminotomy (partial removal of spine bones)

A laminectomy or laminotomy is a surgical procedure that involves removing part of the bone in your spine, specifically the lamina, to alleviate pressure on your spinal cord or nerves. This can help reduce pain and improve mobility if you're suffering from conditions like herniated discs or spinal stenosis.

This service was performed for 11 patients

New patient office or other outpatient visit, 45-59 minutes

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

This service was performed 57 times for 57 patients

Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment

This procedure involves removing part of a spine bone to alleviate pressure on the lower spinal cord and/or nerves. It targets a single segment of the spine, improving mobility and reducing pain. It's a common treatment for conditions like herniated discs or spinal stenosis.

This service was performed 16 times for 16 patients

Spinal fusion

Spinal fusion is a surgical procedure aimed at connecting two or more vertebrae in your spine to reduce pain and improve stability. It involves using a bone graft to cause the vertebrae to grow together, limiting the movement between them. This procedure is often performed to treat conditions like herniated discs or spinal stenosis.

This service was performed for 13 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $33.51 for a new patient copayment and $18.15 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 77030 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $134.06
  • Minimum New Patient Price $58.24
  • Maximum New Patient Price $176.98
  • Average New Patient Copayment $33.51
  • Minimum New Patient Copayment $14.56
  • Maximum New Patient Copayment $44.24

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $72.62
  • Minimum Established Patient Price $18.6
  • Maximum Established Patient Price $143.93
  • Average Established Patient Copayment $18.15
  • Minimum Established Patient Copayment $4.65
  • Maximum Established Patient Copayment $35.98

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Alfonso Aldama is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
HOUSTON METHODIST HOSPITAL6565 FANNIN
HOUSTON, TX 77030
(713) 790-2221Acute Care Hospitals
HOUSTON METHODIST WEST HOSPITAL18500 KATY FREEWAY
HOUSTON, TX 77094
(832) 522-1000Acute Care Hospitals

Reviews for ALFONSO ALDAMA MD

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1164415170
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211248110114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 2 + 4 + 8 + 1 + 1 + 0 + 1 + 1 + 4 + 24 = 50
Step 3: because the number obtained in step 2 ends in zero, the check digit is zero.
0

The NPI number 1164415170 is valid because the calculated check digit 0 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1346245636 HERBERT ISAAC DORFAN M.D.
Individual
Psychiatry & Neurology (Psychiatry)6560 FANNIN ST STE 1616
HOUSTON, TX 77030
(713) 795-0515
1619972692 DOLON C. DAS MD
Individual
Internal Medicine (Nephrology)6560 FANNIN ST SUITE 1532
HOUSTON, TX 77030
(713) 795-5005
1790781961 KAREN WOODS MD
Individual
Internal Medicine (Gastroenterology)6560 FANNIN ST STE 2000
HOUSTON, TX 77030
(713) 383-7800
1104823483 SRINIVASACHARI VATSALA MD
Individual
Obstetrics & Gynecology6560 FANNIN ST STE 1840
HOUSTON, TX 77030
(713) 799-2050
1952309577DR. MICHAEL GREGORY KALDIS M.D.
Individual
Orthopaedic Surgery6560 FANNIN ST SUITE 1016
HOUSTON, TX 77030
(713) 333-4120
1306844659DR. VLADIMIR REDKO M.D.
Individual
Specialist6560 FANNIN ST SUITE 2020
HOUSTON, TX 77030
(713) 790-1400
1427058197 FONTEYN BECK PA-C
Individual
Physician Assistant (Surgical)6560 FANNIN ST STE 1402
HOUSTON, TX 77030
(713) 790-5227
1174516116 RICHARD LOUIS HARPER I MD
Individual
Neurological Surgery6560 FANNIN ST SUITE 1200
HOUSTON, TX 77030
(713) 790-1211
1043203987DR. WILLIAM HYPES OBENOUR JR. M.D.
Individual
Internal Medicine6560 FANNIN ST SUITE 1112
HOUSTON, TX 77030
(713) 790-1541
1548254667 DAVID CECH MD
Individual
Neurological Surgery6560 FANNIN ST SUITE 1200
HOUSTON, TX 77030
(713) 790-1211
1457345571 WARREN PARKER MD
Individual
Neurological Surgery6560 FANNIN ST SUITE 1200
HOUSTON, TX 77030
(713) 790-1211
1154315166 BRIAN C POWERS MD
Individual
Urology6560 FANNIN ST SUITE 2030
HOUSTON, TX 77030
(713) 790-9779
1063406072 JOHN DAVID WRIGHT MD
Individual
Urology6560 FANNIN ST STE 1270
HOUSTON, TX 77030
(713) 790-9779
1821082785MS. LINDA B MEASON RN
Individual
Registered Nurse (Otorhinolaryngology & Head-Neck)6560 FANNIN ST STE 704
HOUSTON, TX 77030
(713) 532-3223
1851385629 DAVID ROBERT WIEMER MD
Individual
Plastic Surgery6560 FANNIN ST #1760
HOUSTON, TX 77030
(713) 795-5584
1346238268 GUILLERMO JUAN MORELL MD
Individual
Internal Medicine (Nephrology)6560 FANNIN ST SUITE 1532
HOUSTON, TX 77030
(713) 796-0800
1679562037 SHEPPY J. SILVERMAN M.D.
Individual
Ophthalmology6560 FANNIN ST SUITE 2200
HOUSTON, TX 77030
(713) 798-3880
1932180791DR. STEVAN LAWRENCE DINERSTEIN M.D.
Individual
Internal Medicine (Nephrology)6560 FANNIN ST SUITE 2204
HOUSTON, TX 77030
(713) 793-7550
1700867165DR. PETER JOSEPH SCHWARZ M.D.
Individual
Specialist6560 FANNIN ST SUITE 1008
HOUSTON, TX 77030
(713) 795-8282
1851373039DR. RICHARD L HARRIS M.D.
Individual
Internal Medicine (Infectious Disease)6560 FANNIN ST SUITE 2206
HOUSTON, TX 77030
(713) 793-7550

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1164415170, enumerated in the NPI registry as an "individual" on August 24, 2005

The provider is located at 6560 Fannin St 1200 Houston, Tx 77030 and the phone number is (713) 790-1211

The provider's speciality is Neurological Surgery with taxonomy code 207T00000X

The provider has more than 52 years of experience. He graduated from Baylor College Of Medicine in 1974.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $134.06 with an average copayment of $33.51 for new patient appointments. Established patients should expect a typical charge of $72.62 and an average copayment of 18.15. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Fusion of lower spine bone through abdomen with partial removal of disc, Insertion of cage or mesh device to spine bone and disc space during spine fusion, Laminectomy or laminotomy (partial removal of spine bones), New patient office or other outpatient visit, 45-59 minutes, Partial removal of spine bone with release of lower spinal cord and/or nerves, 1 segment and Spinal fusion.

The practitioner is affiliated to the following hospital(s): HOUSTON METHODIST HOSPITAL and HOUSTON METHODIST WEST HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on August 24, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.