Individual provider Active NPI

Jose Rafael Valladares Arias, M.D.

  • Surgery Physician
  • Somerset, PA
National Provider Identifier
1043467624
Registry record updated Sep 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD449719 Issued in PA
Practice address
138 Forbes St
Somerset, PA 15501-4545
Phone
(814) 701-2696
NPI assigned
Aug 26, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD449719 PA Primary

Addresses

Primary practice location

138 Forbes St
Somerset, PA 15501-4545

Mailing address

138 Forbes St
Somerset, PA 15501-4545
Phone (814) 701-2696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20131021001611 PA Practitioner - General Surgery 1658506019 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Somerset Health Services IncGroup PAC ID 2668434614, 44 clinicians

Practice addresses (Care Compare)

225 S Ctr Ave
Somerset, PA 15501-2033
Phone (814) 443-5845

229 S Kimberly Ave
Somerset, PA 15501-2022
Phone (814) 445-3575

426 Main St
Berlin, PA 15530-1229
Phone (814) 267-4603

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.5 of 100Reported as group
Quality
65.53
Promoting interoperability
100
Improvement activities
40
Cost
76.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy42
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux41
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD449719PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Somerset Health Services Inc Current Accepting new patients
Somerset Health Services, Inc. CurrentSince Sep 3, 2013 Accepting new patients
Somerset Health Services, Inc. CurrentSince Sep 3, 2013 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Upmc Somerset Surgery Past Accepting new patients

Locations

426 Main St
Berlin, PA 15530
Phone (814) 267-4603

126 E Church St
Ste 3200
Somerset, PA 15501
Phone (814) 443-1028

329 S Pleasant Ave
Somerset, PA 15501
Phone (814) 445-3575

Interoperability endpoints

  • Direct secure messaging: rafael.valladares@upmcdirect.com

Organizations & group practices 5

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.

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": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378166400000",
    "number": "1043467624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 FORBES ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155014545",
            "telephone_number": "814-701-2696"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 FORBES ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155014545",
            "telephone_number": "814-701-2696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLADARES ARIAS",
        "first_name": "JOSE",
        "middle_name": "RAFAEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-26",
        "last_updated": "2013-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD449719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Somerset, PA

Sources for this page

Verify at the official NPI Registry.