Individual provider Active NPI

Javier A Valadez, MD

  • Internal Medicine Physician
  • Dallas, TX
National Provider Identifier
1083628879
Registry record updated Jul 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G5719 Issued in TX
Practice address
1922 W 10TH St
Dallas, TX 75208-5732
Phone
(214) 942-3113
Fax
(214) 572-6888
NPI assigned
Jul 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G5719 TX Primary

Addresses

Primary practice location

1922 W 10TH St
Dallas, TX 75208-5732

Mailing address

1922 W 10TH St
Dallas, TX 75208-5732
Phone (214) 942-3113

Other identifiers 1

IdentifierTypeStateIssuer
123447802MedicaidTX

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110207000887 TX Practitioner - Internal Medicine 3678753795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical Branch at Galveston, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1922 W 10TH St
Dallas, TX 75208-5732
Phone (214) 942-3113

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G5719TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunset Clinic PA CurrentSince Jan 28, 2011 Accepting new patients

Locations

1922 W 10th St
Dallas, TX 75208
Phone (214) 942-3113

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": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277942400000",
    "number": "1083628879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 W 10TH ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752085732",
            "telephone_number": "214-942-3113",
            "fax_number": "214-572-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1922 W 10TH ST",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752085732",
            "telephone_number": "214-942-3113",
            "fax_number": "214-572-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALADEZ",
        "first_name": "JAVIER",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2010-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "G5719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "123447802",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.