Individual provider Active NPI

Athena Lardizabal Valencia, M.D.

  • Internal Medicine Physician
  • Wesley Chapel, FL
National Provider Identifier
1063631240
Registry record updated Apr 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME66946 Issued in FL
Practice address
2236 Green Hedges Way
Wesley Chapel, FL 33544-8189
Phone
(813) 999-0505
Fax
(813) 701-9450
NPI assigned
Apr 25, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A55041 CA
Family Medicine Physician 207Q00000X ME66946 FL
Internal Medicine Physician 207R00000X ME66946 FL Primary
Internal Medicine Physician 207R00000X 22493 AZ

Addresses

Primary practice location

2236 Green Hedges Way
Wesley Chapel, FL 33544-8189

Mailing address

2236 Green Hedges Way
Wesley Chapel, FL 33544-8189
Phone (813) 999-0505

Other practice location 1

20360 Gator Ln Bldg 14
Land O Lakes, FL 34638-2802
Phone (813) 346-3400

Other practice location 2

2726 Windguard Cir
Wesley Chapel, FL 33544-7361
Phone (813) 999-0505

Other practice location 3

33853 State Road 54 Ste 102
Zephyrhills, FL 33543-9105
Phone (813) 999-0505

Other identifiers 2

IdentifierTypeStateIssuer
110144700MedicaidFL
25493OtherFLBLUE CROSS BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20050604000018 FL Practitioner - Internal Medicine 5294778858 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Wiregrass Direct Primary Care PLLCGroup PAC ID 5890128045, 2 clinicians

Practice addresses (Care Compare)

2236 Green Hedges Way
Wesley Chapel, FL 33544-8189
Phone (813) 999-0505

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22493AZMDInternal Medicine Physician
A55041CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wiregrass Direct Primary Care PLLC Family Medicine CurrentSince Sep 23, 2023 Accepting new patients
Valencia Neurospina Center PA Past Accepting new patients
Florida Medical Clinic, LLC PastSince Sep 23, 2023 Accepting new patients
Dr Eid MD LLC Internal Medicine PastSince Nov 5, 2023 Accepting new patients
Nile Medical Clinic LLC Internal Medicine PastSince Nov 1, 2023 Accepting new patients

Locations

1317 Edgewater Dr
Orlando, FL 32804
Phone (877) 436-8527

2236 Green Hedges Way
Wesley Chapel, FL 33544
Phone (813) 358-3578

33853 Wesley Chapel Blvd
Ste 102
Zephyrhills, FL 33543
Phone (813) 715-2006

Interoperability endpoints

  • Direct secure messaging: athena.valencia.1@23694.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/23694/brand/1/csg/1/fhir/r4

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.

NPI Registry JSON

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

{
    "created_epoch": "1177459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776384000000",
    "number": "1063631240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2236 GREEN HEDGES WAY",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448189",
            "telephone_number": "813-999-0505",
            "fax_number": "813-701-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2236 GREEN HEDGES WAY",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335448189",
            "telephone_number": "813-999-0505",
            "fax_number": "813-701-9450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "20360 Gator Ln Bldg 14",
            "address_purpose": "LOCATION",
            "city": "Land O Lakes",
            "state": "FL",
            "postal_code": "346382802",
            "country_code": "US",
            "telephone_number": "813-346-3400",
            "fax_number": "813-346-3491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2726 Windguard Cir",
            "address_purpose": "LOCATION",
            "city": "Wesley Chapel",
            "state": "FL",
            "postal_code": "335447361",
            "country_code": "US",
            "telephone_number": "813-999-0505",
            "fax_number": "813-701-9450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33853 State Road 54 Ste 102",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335439105",
            "country_code": "US",
            "telephone_number": "813-999-0505",
            "fax_number": "813-701-9450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "ATHENA",
        "middle_name": "LARDIZABAL",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-25",
        "last_updated": "2026-04-17",
        "certification_date": "2026-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A55041",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME66946",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME66946",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "22493",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110144700",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "25493",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

Verify at the official NPI Registry.