Individual provider Active NPI

Robert Joel Valdespino, FNP-BC

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1184729030
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
687150 Issued in TX
Practice address
10528 Culebra Rd Ste 104
San Antonio, TX 78251-3659
Phone
(210) 309-1405
Fax
(210) 688-4596
NPI assigned
Sep 14, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 687150 TX Primary

Addresses

Primary practice location

10528 Culebra Rd Ste 104
San Antonio, TX 78251-3659

Mailing address

PO Box 4346
Dept. 529
Houston, TX 77210-4346
Phone (512) 212-4865

Other identifiers 1

IdentifierTypeStateIssuer
1844011-01MedicaidTX

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031118000511 TX Practitioner - Nurse Practitioner 7618881137 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Progressive Health of America, PLLCGroup PAC ID 5698072320, 72 clinicians

Practice addresses (Care Compare)

16620 N US Hwy 281
Suite 300
San Antonio, TX 78232-2679

16620 San Pedro Ave
Suite 300
San Antonio, TX 78232-2679
Phone (210) 871-4701

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Ipc Healthcare Services of Texas, PLLC CurrentSince Jun 1, 2016 Accepting new patients
Inpatient Progressive Health of America, PLLC CurrentSince Sep 14, 2016 Accepting new patients
GMG Health Systems Associates PA PastSince Dec 27, 2009 Accepting new patients
VHS San Antonio Partners LLC Past Accepting new patients

Locations

2400 Round Rock Ave
Round Rock, TX 78681
Phone (512) 255-6066

10528 Culebra Rd
Ste 104
San Antonio, TX 78251
Phone (210) 309-1405

111 Dallas St
San Antonio, TX 78205
Phone (210) 297-7000

16620 San Pedro Ave
Ste 300
San Antonio, TX 78232
Phone (210) 614-1231

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

8026 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-8110

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1184729030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4346",
            "address_2": "DEPT. 529",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772104346",
            "telephone_number": "512-212-4865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10528 CULEBRA RD STE 104",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782513659",
            "telephone_number": "210-309-1405",
            "fax_number": "210-688-4596"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDESPINO",
        "first_name": "ROBERT",
        "middle_name": "JOEL",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-14",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "687150",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1844011-01",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.