Active NPI
Lindsey Marie Valdiviez, DO
- Internal Medicine Physician
- Saint Louis, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2026024011
- Practice address
- 4320 Forest Park Ave
Ste 1100
Saint Louis, MO 63108-2821 - Phone
- (314) 333-4100
- Fax
- (314) 333-4115
- NPI assigned
- Apr 10, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2026024011 | MO | Primary |
Addresses
Primary practice location
4320 Forest Park Ave
Ste 1100
Saint Louis, MO 63108-2821
Mailing address
PO Box 7412037
Chicago, IL 60674-2037
Phone (314) 333-4100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Washington University |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230615001653 | IN | Order and Referring Only - Internal Medicine | 9830557370 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Kansas City University of Med & Biosciences, College of Osteo Med, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1234 S Kingshighway Blvd
Suite 1800
Saint Louis, MO 63110-2179
Hospital & facility affiliations
- Good Samaritan Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington University Clinical Associates LLC | Current | Accepting new patients | |
| Washington University | Past | Accepting new patients |
Locations
4320 Forest Park Ave
Ste 1100
Saint Louis, MO 63108
Phone (314) 333-4100
Interoperability endpoints
- lvaldiviez237354@direct.deaconess.com
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1437188133
-
- Multi-Specialty Clinic/Center
- Saint Louis, MO
- NPI 1669405544
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Sports Medicine (Physical Medicine & Rehabilitation) Physician
- Vincennes, IN
- NPI 1073153474
Hospital
-
- General Acute Care Hospital
- Vincennes, IN
- NPI 1225032881
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783468800000",
"number": "1053006536",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7412037",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606742037",
"telephone_number": "314-333-4100",
"fax_number": "314-333-4115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4320 FOREST PARK AVE",
"address_2": "STE 1100",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631082821",
"telephone_number": "314-333-4100",
"fax_number": "314-333-4115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDIVIEZ",
"first_name": "LINDSEY",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-10",
"last_updated": "2026-07-08",
"certification_date": "2023-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "2026024011",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "Y",
"affiliationName": "Washington University",
"address_1": "4320 Forest Park Ave",
"address_2": "Ste 1100",
"city": "Saint Louis",
"state": "MO",
"country_code": "US",
"postal_code": "631082821",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.