MS. MARIE ALBERTE ALTIDOR (CRNA) – Certified Registered Nurse Anesthetist, NPI 1043452444

MS. MARIE ALBERTE ALTIDOR (CRNA) is a healthcare provider. based in Houston, Texas. specializing in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). They hold the professional credentials CRNA. They hold a License No. 079354 (TX). The NPI Number for MS. MARIE ALBERTE ALTIDOR (CRNA) is 1043452444

Main info

Female
Sole Proprietor
18 Years Of Experience
Accepts Medicare Assignment
Name
MS. MARIE ALBERTE ALTIDOR (CRNA)
NPI
1043452444
Phone
(832) 355-2666
Address
6720 BERTNER AVE STE O-520
Enumeration Date
31 March 2009
Last Update Date
15 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6082516100
Graduation Year
2008 (18 years ago)
PAC ID
4981754314
Group Practice PAC ID
7012827983
Professional Enrollment ID
I20200518000832
Address ID
WI537151830MA700XXSTXX400

Contacts

Secure Messaging
maltidor377282@direct-ehr-ssmhc.com
FHIR Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience84
Completeness85
Years active:17State licenses:8Other namesUpdated within 12 months

1,311 CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) in MA

Provider Addresses for MS. MARIE ALBERTE ALTIDOR (CRNA)

  • 6720 BERTNER AVE STE O-520

    HOUSTON, TX 770302604

    Phone: (832) 355-2666

    Fax: (832) 355-6500

    Type: Mailing

  • 55 Fruit St

    Boston, MA 021142621

    Phone: (910) 879-6034

    Type: Location

  • 600 Highland Ave

    Madison, WI 537922621

    Phone: (608) 263-8100

    Fax: (608) 262-6247

    Type: Location

  • 700 S Park St

    Madison, WI 537151830

    Phone: (608) 251-6100

    Fax: (608) 258-5222

    Type: Location

  • 7200 Cambridge St Fl 10

    Houston, TX 770304202

    Phone: (713) 798-1750

    Fax: (713) 798-4693

    Type: Location

  • Massachusetts General Hospital, 55, Fruit Street, Beacon Hill, Boston, Suffolk County, Massachusetts, 02114, United States

    BOSTON, MA 021142621

    Phone: (972) 672-3790

    Type: Mailing

  • 736 IRVING AVE

    SYRACUSE, NY 132101602

    Phone: (315) 470-7111

    Type: Location

  • 7200 CAMBRIDGE ST FL 10

    HOUSTON, TX 770304202

    Phone: (713) 798-1750

    Fax: (713) 798-4693

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 7 Open Payments records for all available years, with a total value of $94.

Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.

Last reported payment date: 2024-05-07 • Largest payer in this snapshot: ABBVIE INC. ($51).

Total Amount

$94

General + Research + Ownership

Payments

7

Total payment records

General Amount

$94

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-07

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-01-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20090605000444ICertified Registered Nurse Anesthetist (Crna)TXTBD
I20160616001133ICertified Registered Nurse Anesthetist (Crna)GATBD
I20180802001570ICertified Registered Nurse Anesthetist (Crna)SCTBD
I20200518000832ICertified Registered Nurse Anesthetist (Crna)WITBD
I20250121001462ICertified Registered Nurse Anesthetist (Crna)NYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
00811Anesthesia for other procedure on large bowel using an endoscope2121$0
00812Anesthesia for exam of colon using an endoscope1212$0
View full utilization report →

Insurance plans in this area (ZIP 77030)

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Provider's Procedures

MS. MARIE ALBERTE ALTIDOR (CRNA) performs procedures in CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA). See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CERTIFIED REGISTERED NURSE ANESTHETGA00142Anesthesia for lens surgery1413

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012827983View full group profile
NameSpecialtyState
U R O L O G YWA
-WI
N E U R O S U R G E R YNE
-WI
Physician AssistantWI
Family PracticeWI
Cardiovascular Disease (Cardiology)TX
-WI
N E U R O L O G YWI
Family PracticeWI

Reviews

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Frequently asked questions

Can I cross-check MS. MARIE ALBERTE ALTIDOR (CRNA) using NPI 1043452444?
NPI 1043452444 belongs to MS. MARIE ALBERTE ALTIDOR (CRNA); compare other details if you need extra assurance.
Active or inactive — what applies to MS. MARIE ALBERTE ALTIDOR (CRNA)?
You should see MS. MARIE ALBERTE ALTIDOR (CRNA) as active in CMS-hosted NPPES data.
What area of care is associated with MS. MARIE ALBERTE ALTIDOR (CRNA)?
MS. MARIE ALBERTE ALTIDOR (CRNA)'s record emphasizes Certified Registered Nurse Anesthetist. Clinical services aligned with this taxonomy classification.
Is MS. MARIE ALBERTE ALTIDOR (CRNA) associated with Houston?
Public fields place MS. MARIE ALBERTE ALTIDOR (CRNA) around Houston, Texas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.