Individual provider Active NPI

Gabriel Adrian Valencia, MD

  • Family Medicine Physician
  • Columbus, TX
National Provider Identifier
1104063627
Registry record updated Jul 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
N1199 Issued in TX
Practice address
110 Shult Dr
Columbus, TX 78934-3016
Phone
(281) 265-7085
NPI assigned
Jan 21, 2009
Last updated
Jul 7, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 7, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X N1199 TX
Family Medicine Physician 207Q00000X N1199 TX Primary

Addresses

Primary practice location

110 Shult Dr
Columbus, TX 78934-3016

Mailing address

110 Shult Dr
Columbus, TX 78934-3016
Phone (281) 265-7085

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
I20090603000222 TX Practitioner - Emergency MedicinePractitioner - Family Practice 6002966678 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
University of Michigan Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pearsall Emergency Medicine Associates, PAGroup PAC ID 1557623147, 45 clinicians

Practice addresses (Care Compare)

1890 George Dieter Dr
El Paso, TX 79936-4327
Phone (915) 225-7116

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
N1199TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group PLLC Emergency Medicine CurrentSince Dec 1, 2015 Accepting new patients
Pearsall Emergency Medicine Associates, PA Emergency Medicine CurrentSince Oct 1, 2019 Accepting new patients
St Joseph Emergency Physicians PLLC Emergency Medicine Current Accepting new patients
St Joseph Emergency Physicians PLLC Emergency Medicine CurrentSince May 31, 2017 Accepting new patients
Concord Medical Group of Texas PLLC Emergency Medicine CurrentSince Dec 1, 2015 Accepting new patients
Hospitalist Medicine Physicians of Texas - Houston, PLLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Memorial Hermann Health System Family Medicine Past Accepting new patients
Memorial Hermann Health System Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

110 Shult Dr
Columbus, TX 78934
Phone (979) 493-7560

12101 Edgemere Blvd
El Paso, TX 79938
Phone (915) 832-2490

1890 George Dieter Dr
El Paso, TX 79936
Phone (915) 219-9404

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

13600 Horizon Blvd
Ste 100
Horizon City, TX 79928
Phone (915) 407-7878

1401 St Joseph Pkwy
Houston, TX 77002
Phone (713) 575-1000

1917 Ashland St
Houston, TX 77008
Phone (713) 861-6161

1353 N Travis St
Liberty, TX 77575
Phone (936) 336-7316

400 SW 25th Ave
Mineral Wells, TX 76067
Phone (940) 325-7891

3640 Hampton Dr
Missouri City, TX 77459
Phone (281) 778-5144

305 N McKinney St
Sweeny, TX 77480
Phone (979) 548-1500

Organizations & group practices 8

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1232496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1104063627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 SHULT DR",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789343016",
            "telephone_number": "281-265-7085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 SHULT DR",
            "city": "COLUMBUS",
            "state": "TX",
            "postal_code": "789343016",
            "telephone_number": "281-265-7085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "GABRIEL",
        "middle_name": "ADRIAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-21",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N1199",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N1199",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, TX

Sources for this page

Verify at the official NPI Registry.