Individual provider Active NPI

Diana Levin Valencia, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • New York, NY
National Provider Identifier
1184056319
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
006579 Issued in NY
Practice address
2599 Broadway Ste a
New York, NY 10025-5686
Phone
(212) 663-3668
Fax
(212) 663-3995
NPI assigned
Jul 30, 2013
Last updated
Jun 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 006579 NY Primary

Addresses

Primary practice location

2599 Broadway Ste a
New York, NY 10025-5686

Mailing address

2599 Broadway Ste a
New York, NY 10025-5686
Phone (212) 663-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140110000814 NY Practitioner - Podiatry 7416185848 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2599 Broadway
Suite a
New York, NY 10025-5686
Phone (212) 663-3668

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue29
Removal of skin lesions21
Removal of nail tissue325
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Levin Valencia Podiatry PLLC Foot & Ankle Surgery CurrentSince Jan 11, 2015 Accepting new patients

Locations

2599 Broadway
Ste A
New York, NY 10025
Phone (212) 571-1017

Interoperability endpoints

  • Direct secure messaging: dvalencia683844@nychhc.direct-ci.com

Organizations & group practices 1

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": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1184056319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2599 BROADWAY STE A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255686",
            "telephone_number": "212-663-3668",
            "fax_number": "212-663-3995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2599 BROADWAY STE A",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100255686",
            "telephone_number": "212-663-3668",
            "fax_number": "212-663-3995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVIN VALENCIA",
        "first_name": "DIANA",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NY",
            "license": "006579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.