Individual provider Active NPI

Gianfranco Valle, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Blue Ash, OH
National Provider Identifier
1194894287
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
35072573V Issued in OH
Practice address
5151 Pfeiffer Rd Ste 350
Blue Ash, OH 45242-4861
Phone
(833) 358-2036
NPI assigned
Nov 6, 2006
Last updated
Dec 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 35072573V OH Primary

Addresses

Primary practice location

5151 Pfeiffer Rd Ste 350
Blue Ash, OH 45242-4861

Mailing address

2003 Veterans Blvd
Georgetown, OH 45121-7408
Phone (937) 378-2900

Other practice location 1

2003 Veterans Blvd
Georgetown, OH 45121-7408
Phone (937) 378-2900 ext. 2705

Other identifiers 5

IdentifierTypeStateIssuer
64960933MedicaidKY
04-1192OtherOHUNITED HEALTHCARE
2054039MedicaidOH
000000268033OtherOHANTHEM
2259819OtherOHAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20241001001836 OH Order and Referring Only - Geriatric MedicinePractitioner - Geriatric Medicine 0143126516

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35072573VOHMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wound Care Specialists of Ohio LLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gvalle@landmarkhealth-direct.org

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": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670198400000",
    "number": "1194894287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2003 VETERANS BLVD",
            "city": "GEORGETOWN",
            "state": "OH",
            "postal_code": "451217408",
            "telephone_number": "937-378-2900",
            "fax_number": "937-378-2951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 PFEIFFER RD STE 350",
            "city": "BLUE ASH",
            "state": "OH",
            "postal_code": "452424861",
            "telephone_number": "833-358-2036"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2003 Veterans Blvd",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "OH",
            "postal_code": "451217408",
            "country_code": "US",
            "telephone_number": "937-378-2900 x2705",
            "fax_number": "937-378-2951",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLE",
        "first_name": "GIANFRANCO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "OH",
            "license": "35072573V",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64960933",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "04-1192",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2054039",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000268033",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2259819",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Blue Ash, OH

Sources for this page

Verify at the official NPI Registry.