Individual provider Active NPI

Nora I Valdes, M.D.

  • Family Medicine Physician
  • San Antonio, TX
National Provider Identifier
1124069406
Registry record updated Jan 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K9444 Issued in TX
Practice address
5282 Medical Dr
Suite 600
San Antonio, TX 78229-6114
Phone
(210) 614-0000
Fax
(210) 614-0372
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 27, 2017

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 K9444 TX Primary

Addresses

Primary practice location

5282 Medical Dr
Suite 600
San Antonio, TX 78229-6114

Mailing address

4903 Golden Quail
Ste 114
San Antonio, TX 78240-1585
Phone (210) 614-0000

Other identifiers 8

IdentifierTypeStateIssuer
039342302MedicaidTX
7832OtherCOMMUNITY FIRST
10061825OtherAMERIGROUP
5342OtherAETNA MEDICAID
0045KHOtherTXBLUE CROSS BLUE SHIELD
159973001MedicaidTX
717857OtherUPMC
7517144OtherAETNA

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
I20100811000879 TX Practitioner - Family Practice 0941334080 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2040 Babcock Rd
Suite 406
San Antonio, TX 78229-4428
Phone (210) 614-0000

Hospital & facility affiliations

  • Superior Hospice LLC Hospice, San Antonio, TX, CCN 671739

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K9444TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nora I Valdes MD PA Family Medicine CurrentSince May 18, 2003 Accepting new patients
Primary & Palliative Home Care, PLLC CurrentSince Jul 21, 2020 Accepting new patients

Locations

2040 Babcock Rd
Ste 406
San Antonio, TX 78229
Phone (210) 530-1235

4903 Golden Quail
Ste 114
San Antonio, TX 78240
Phone (210) 595-6696

5282 Medical Dr
Ste 600
San Antonio, TX 78229
Phone (210) 375-3399

8901 Emmett F Lowry Expy
Ste A
Texas City, TX 77591
Phone (281) 559-1121

Interoperability endpoints

  • Direct secure messaging: nvaldes1962@paphcp-tx.direct.office.nextgen.com

Organizations & group practices 2

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485475200000",
    "number": "1124069406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4903 GOLDEN QUAIL",
            "address_2": "STE 114",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782401585",
            "telephone_number": "210-614-0000",
            "fax_number": "210-641-2441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5282 MEDICAL DR",
            "address_2": "SUITE 600",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782296114",
            "telephone_number": "210-614-0000",
            "fax_number": "210-614-0372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES",
        "first_name": "NORA",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2017-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K9444",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "039342302",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMUNITY FIRST",
            "identifier": "7832",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10061825",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA MEDICAID",
            "identifier": "5342",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "0045KH",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "159973001",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPMC",
            "identifier": "717857",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7517144",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.