Individual provider Active NPI

Durgabhavani B Valay, M.D

  • Family Medicine Physician
  • Lake Mary, FL
National Provider Identifier
1093760829
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME77767 Issued in FL
Practice address
109 Timberlachen Cir
Lake Mary, FL 32746-3395
Phone
(407) 880-0011
Fax
(407) 880-7792
NPI assigned
May 23, 2006
Last updated
Sep 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME77767 FL Primary

Addresses

Primary practice location

109 Timberlachen Cir
Lake Mary, FL 32746-3395

Mailing address

109 Timberlachen Cir
Lake Mary, FL 32746-3395
Phone (407) 333-9877

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
I20050809000235 FL Practitioner - Family Practice 9638108871 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME77767FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Optumcare Florida LLC Family Medicine CurrentSince Jan 1, 2014 Accepting new patients
Optumcare Florida, LLC CurrentSince Jan 1, 2014 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients

Locations

109 Timberlachen Cir
Lake Mary, FL 32746
Phone (407) 333-9877

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

1718 Lexington Green Ln
Sanford, FL 32771
Phone (407) 268-9661

10051 5th St N
Ste 100
St Petersburg, FL 33702

10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 828-2370

10051 5th St N
Ste 32
St Petersburg, FL 33702

Interoperability endpoints

  • Direct secure messaging: durgabhavani.valay@wellmed.eclinicaldirectplus.com

Organizations & group practices 3

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1093760829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 TIMBERLACHEN CIR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463395",
            "telephone_number": "407-333-9877",
            "fax_number": "407-333-9881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 TIMBERLACHEN CIR",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463395",
            "telephone_number": "407-880-0011",
            "fax_number": "407-880-7792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALAY",
        "first_name": "DURGABHAVANI",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-23",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME77767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.