Individual provider Active NPI

Eduard Humberto Valdes, MD

  • Neurology Physician
  • New York, NY
National Provider Identifier
1104360114
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
317065 Issued in NY
Practice address
710 W 168TH St FL 6
New York, NY 10032-3726
Phone
(212) 305-2500
NPI assigned
Dec 9, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Neurology Physician 2084N0400X 317065 NY Primary

Addresses

Primary practice location

710 W 168TH St FL 6
New York, NY 10032-3726

Mailing address

710 W 168TH St FL 6
New York, NY 10032-3726

Other practice location 1

422 Calle Los Ingenieros
Mayaguez, PR 00682-7705
Phone (787) 464-2480

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20221013002446 NY Practitioner - Neurology 3274909445 Reassigns benefits to 1 organization
I20241015000644 GA Practitioner - Neurology 3274909445 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Emory Clinic IncGroup PAC ID 8820901408, 3,507 clinicians
Emory Medical Care Foundation IncGroup PAC ID 4981501814, 1,003 clinicians

Practice addresses (Care Compare)

1365 Clifton Rd NE
Atlanta, GA 30322-1013
Phone (404) 778-7525

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303-3031
Phone (404) 616-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
317065NYMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trustees of Columbia University in the City of New York CurrentSince Jun 24, 2022 Accepting new patients
The Emory Clinic Inc CurrentSince Sep 16, 2024 Accepting new patients
Emory Medical Care Foundation Inc Neurology CurrentSince Sep 16, 2024 Accepting new patients
Emory Medical Care Foundation Inc CurrentSince Sep 16, 2024 Accepting new patients
Trustees of Columbia University in the City of New York Neurology CurrentSince Jun 24, 2022 Accepting new patients
Emory Medical Care Foundation Inc Current Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

2201 Henderson Mill Rd NE
Ste 160
Atlanta, GA 30345
Phone (404) 251-2193

622 W 168th St
New York, NY 10032
Phone (212) 305-4931

710 W 168th St
Rm 1125A
New York, NY 10032

161 Fort Washington Ave
New York, NY 10032
Phone (212) 305-8559

710 W 168th St
Fl 6
New York, NY 10032
Phone (212) 305-1710

Interoperability endpoints

  • Direct secure messaging: ela9142@direct.nyp.org
  • Direct secure messaging: evaldes2955715@carolinashealthcaresystem.direct-ci.com
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/R4/
  • FHIR API: https://epicproxy-pub.et1089.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 6

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.

Hospital & facility affiliations 2

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": "1481241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1104360114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 W 168TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 W 168TH ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100323726",
            "telephone_number": "212-305-2500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "422 Calle Los Ingenieros",
            "address_purpose": "LOCATION",
            "city": "Mayaguez",
            "state": "PR",
            "postal_code": "006827705",
            "country_code": "US",
            "telephone_number": "787-464-2480",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDES",
        "first_name": "EDUARD",
        "middle_name": "HUMBERTO",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-12-09",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "317065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.