NPIMap

Organization Active NPI

Small Hospital Innovations LLC

  • Emergency Medicine Physician
  • Clewiston, FL
National Provider Identifier
1184040560
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS7985 Issued in FL
Legal business name
SMALL HOSPITAL INNOVATIONS LLC
Practice address
524 W Sagamore Ave
Clewiston, FL 33440-3514
Phone
(305) 204-9318
NPI assigned
Mar 10, 2014
Last updated
Sep 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Authorized official

Name
Dr. Ruddy Valdes, D.O.NPI 1245210756
Title
President
Phone
(786) 457-4900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS7985 FL Primary
Emergency Medicine Physician 207P00000X NU
Hospitalist Physician 208M00000X OS7985 FL
Hospitalist Physician 208M00000X NU

Addresses

Primary practice location

524 W Sagamore Ave
Clewiston, FL 33440-3514

Mailing address

PO Box 277615
Miramar, FL 33027-7615
Phone (305) 204-9318

Other practice location 1

1011 N Galloway Ave
Mesquite, TX 75149-2433
Phone (214) 320-7674

Other practice location 2

7 Medical Pkwy
Farmers Branch, TX 75234-7829
Phone (305) 204-9318

Other practice location 3

11 Upper Riverdale Rd SW
Riverdale, GA 30274-2615
Phone (305) 204-9318

Other practice location 4

5501 S Expressway 77
Harlingen, TX 78550-3213
Phone (956) 365-1008

Other practice location 5

1401 E 8th St
Weslaco, TX 78596-6640
Phone (956) 973-5110

Other identifiers 1

IdentifierTypeStateIssuer
1184040560MedicaidTX

Other names 1

  • Hospital Innovation Physicians Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, GA, PA, NJ, AL6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20140715000513 FL Part B Supplier - Clinic/Group Practice 0840415444 Receives reassigned benefits from 172 practitioners
Practice locations: Arcadia, FL; Clewiston, FL; Hialeah, FL; Lehigh Acres, FL; Marianna, FL
O20220124000512 TX Part B Supplier - Clinic/Group Practice 0840415444 Receives reassigned benefits from 141 practitioners
Practice locations: Farmers Branch, TX; Mesquite, TX
O20220404000661 GA Part B Supplier - Clinic/Group Practice 0840415444 Receives reassigned benefits from 82 practitioners
Practice locations: Riverdale, GA
O20250113001960 PA Part B Supplier - Clinic/Group Practice 0840415444 Receives reassigned benefits from 50 practitioners
Practice locations: Philadephia, PA; Bristol, PA; Norristown, PA
O20250121000897 NJ Part B Supplier - Clinic/Group Practice 0840415444 Receives reassigned benefits from 55 practitioners
Practice locations: Newark, NJ
O20260617000685 AL Part B Supplier - Hospital Department(S) 0840415444 Receives reassigned benefits from 19 practitioners
Practice locations: Gadsden, AL

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 505

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 505

NPI Registry JSON

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

{
    "created_epoch": "1394409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788998400000",
    "number": "1184040560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 277615",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330277615",
            "telephone_number": "305-204-9318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "524 W SAGAMORE AVE",
            "city": "CLEWISTON",
            "state": "FL",
            "postal_code": "334403514",
            "telephone_number": "305-204-9318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1011 N Galloway Ave",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751492433",
            "country_code": "US",
            "telephone_number": "214-320-7674",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7 Medical Pkwy",
            "address_purpose": "LOCATION",
            "city": "Farmers Branch",
            "state": "TX",
            "postal_code": "752347829",
            "country_code": "US",
            "telephone_number": "305-204-9318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11 Upper Riverdale Rd SW",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "GA",
            "postal_code": "302742615",
            "country_code": "US",
            "telephone_number": "305-204-9318",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5501 S Expressway 77",
            "address_purpose": "LOCATION",
            "city": "Harlingen",
            "state": "TX",
            "postal_code": "785503213",
            "country_code": "US",
            "telephone_number": "956-365-1008",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1401 E 8th St",
            "address_purpose": "LOCATION",
            "city": "Weslaco",
            "state": "TX",
            "postal_code": "785966640",
            "country_code": "US",
            "telephone_number": "956-973-5110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SMALL HOSPITAL INNOVATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A",
        "authorized_official_last_name": "VALDES",
        "authorized_official_first_name": "RUDDY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "786-457-4900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS7985",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "OS7985",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184040560",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospital Innovation Physicians",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Hospital Innovation Physicians",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Clewiston, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.