Individual provider Active NPI

Pamela Rae Valka, D.O.

  • Family Medicine Physician
  • Avondale, AZ
National Provider Identifier
1174521207
Registry record updated Jan 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
011414 Issued in AZ
Practice address
3125 N Dysart Rd
Avondale, AZ 85392-1208
Phone
(623) 882-9161
Fax
(480) 269-3887
NPI assigned
Jul 12, 2005
Last updated
Jan 26, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 26, 2026

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 011414 AZ Primary

Addresses

Primary practice location

3125 N Dysart Rd
Avondale, AZ 85392-1208

Mailing address

PO Box 18892
Belfast, ME 04915-4083
Phone (469) 803-3000

Other identifiers 2

IdentifierTypeStateIssuer
239546MedicaidAZ
4392689MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20251122001204 AZ Practitioner - Family Practice 5698872216 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VHS Outpatient Clinics IncGroup PAC ID 4486566726, 206 clinicians

Practice addresses (Care Compare)

3125 N Dysart Rd
Avondale, AZ 85392-1208
Phone (623) 882-9161

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
011414AZMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
VHS Outpatient Clinics, Inc. CurrentSince Nov 11, 2025 Accepting new patients
VHS Outpatient Clinics, Inc. Family Medicine CurrentSince Nov 11, 2025 Accepting new patients

Locations

3125 N Dysart Rd
Avondale, AZ 85392
Phone (623) 882-9161

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

5130 W Baseline Rd
Ste 102
Laveen, AZ 85339
Phone (602) 237-0039

26900 N Lake Pleasant Pkwy
Ste 210
Peoria, AZ 85383
Phone (623) 561-3000

Interoperability endpoints

  • Direct secure messaging: pamelavalka@epicpc.allscriptsdirect.net
  • Direct secure messaging: pvalka701791@direct.hfhs.org

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, 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": "1121126400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1769385600000",
    "number": "1174521207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 18892",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049154083",
            "telephone_number": "469-803-3000",
            "fax_number": "469-803-4647"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3125 N DYSART RD",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853921208",
            "telephone_number": "623-882-9161",
            "fax_number": "480-269-3887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALKA",
        "first_name": "PAMELA",
        "middle_name": "RAE",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-12",
        "last_updated": "2026-01-26",
        "certification_date": "2026-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "011414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "239546",
            "state": "AZ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4392689",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

Verify at the official NPI Registry.