Individual provider Active NPI

Jose Luis Valladares, MD

  • Hematology & Oncology Physician
  • Victoria, TX
National Provider Identifier
1053303255
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
0453759 Issued in KS
Practice address
605 E San Antonio St Ste 310E
Victoria, TX 77901-6053
Phone
(361) 485-9600
Fax
(361) 485-9610
NPI assigned
Aug 16, 2005
Last updated
Aug 17, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 036.096247 IL
Hematology & Oncology Physician 207RH0003X L5595 TX
Hematology & Oncology Physician 207RH0003X 0453759 KS Primary

Addresses

Primary practice location

605 E San Antonio St Ste 310E
Victoria, TX 77901-6053

Mailing address

605 E San Antonio St Ste 310E
Victoria, TX 77901-6053
Phone (361) 485-9600

Other practice location 1

2220 Canterbury Dr Ste 150
Hays, KS 67601-2370
Phone (785) 623-5774

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jose.valladares.1@1902.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20231207003902 NV Practitioner - Hematology/Oncology 4981703477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2911 N Tenaya Way
Suite 210
Las Vegas, NV 89128-0495
Phone (702) 342-1244

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.096247ILMDHematology & Oncology Physician
0453759KSMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Starling Oncology Ca, a Professional Corporation Hematology & Oncology CurrentSince Dec 1, 2023 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients
M Ayman Ghraowi, MD PA Past Accepting new patients
Jeanette Tan, MD, PA PastSince Mar 24, 2011 Accepting new patients
Regional Employee Assistance Program Inc Past Accepting new patients
South Texas Comprehensive Cancer Centers PLLC Hematology & Oncology Past Accepting new patients

Locations

18000 Studebaker Rd
Ste 800
Cerritos, CA 90703

10001 S Eastern Ave
Ste 301
Henderson, NV 89052
Phone (702) 435-1037

2904 W Horizon Ridge Pkwy
Ste 200
Henderson, NV 89052
Phone (702) 471-7779

2911 N Tenaya Way
Ste 210
Las Vegas, NV 89128
Phone (702) 342-1244

6450 Medical Center St
Las Vegas, NV 89148
Phone (702) 471-7779

Interoperability endpoints

  • Direct secure messaging: jose.valladares.1@1902.direct.athenahealth.com
  • Direct secure messaging: jose.valladares@theoncologyinstitute.ikm.direct-ci.com

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1124150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786924800000",
    "number": "1053303255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 E SAN ANTONIO ST STE 310E",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016053",
            "telephone_number": "361-485-9600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E SAN ANTONIO ST STE 310E",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016053",
            "telephone_number": "361-485-9600",
            "fax_number": "361-485-9610"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2220 Canterbury Dr Ste 150",
            "address_purpose": "LOCATION",
            "city": "Hays",
            "state": "KS",
            "postal_code": "676012370",
            "country_code": "US",
            "telephone_number": "785-623-5774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLADARES",
        "first_name": "JOSE",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-16",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IL",
            "license": "036.096247",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "L5595",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "KS",
            "license": "0453759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jose.valladares.1@1902.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "AMR direct address",
            "address_1": "605 E San Antonio St Ste 310E",
            "city": "Victoria",
            "state": "TX",
            "country_code": "US",
            "postal_code": "779016053",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.