Individual provider Active NPI

J Michael Valenza, DPM

  • Podiatrist
  • Austin, TX
National Provider Identifier
1063514362
Registry record updated Sep 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
TX575 Issued in TX
Practice address
5656 Bee Cave Rd
Ste D204
Austin, TX 78746-5248
Phone
(512) 327-9251
Fax
(512) 327-9742
NPI assigned
Sep 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X TX575 TX Primary

Addresses

Primary practice location

5656 Bee Cave Rd
Ste D204
Austin, TX 78746-5248

Mailing address

5656 Bee Cave Rd
Ste D204
Austin, TX 78746-5248
Phone (512) 327-9251

Other identifiers 2

IdentifierTypeStateIssuer
838463OtherTXPROVIDER #
00AP45OtherTXGROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110524000035 TX Practitioner - Podiatry 9234186701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
California School of Podiatric Medicine, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5656 Bee Caves Rd
Suite D204
West Lake Hills, TX 78746-5236
Phone (512) 327-9251

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue81
Removal of skin lesions1-10
Removal of nail tissue23
Removal or shaving of skin growth44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TX575TXMDPodiatrist

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379548800000",
    "number": "1063514362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVE RD",
            "address_2": "STE D204",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465248",
            "telephone_number": "512-327-9251",
            "fax_number": "512-327-9742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5656 BEE CAVE RD",
            "address_2": "STE D204",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787465248",
            "telephone_number": "512-327-9251",
            "fax_number": "512-327-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZA",
        "first_name": "J MICHAEL",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2013-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "TX575",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER #",
            "identifier": "838463",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "00AP45",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.