Active NPI
Drew Alexander Valle
- Specialist
- Maplewood, MN
National Provider Identifier
1154210193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 510109
- Practice address
- 2495 Maplewood Dr N
Maplewood, MN 55109-1984 - Phone
- (651) 760-3109
- NPI assigned
- Jul 2, 2025
- Last updated
- Jul 2, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 510109 | MN | Primary |
Addresses
Primary practice location
2495 Maplewood Dr N
Maplewood, MN 55109-1984
Mailing address
2495 Maplewood Dr W
Maplewood, MN 55109
Phone (651) 760-3109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 510109 | MN | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1751414400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1751414400000",
"number": "1154210193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2495 MAPLEWOOD DR W",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "55109",
"telephone_number": "651-760-3109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2495 MAPLEWOOD DR N",
"city": "MAPLEWOOD",
"state": "MN",
"postal_code": "551091984",
"telephone_number": "651-760-3109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALLE",
"first_name": "DREW",
"middle_name": "ALEXANDER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-07-02",
"last_updated": "2025-07-02",
"certification_date": "2025-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MN",
"license": "510109",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Maplewood, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.