Individual provider Active NPI

Christian Antonio Valle, DPM

  • Foot & Ankle Surgery Podiatrist
  • Monroe, LA
National Provider Identifier
1205369840
Registry record updated Sep 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
322501 Issued in LA
Practice address
3601 Desiard St
Monroe, LA 71203-4352
Phone
(318) 397-1574
NPI assigned
Apr 11, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2023

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 322501 LA Primary

Addresses

Primary practice location

3601 Desiard St
Monroe, LA 71203-4352

Mailing address

3601 Desiard St
Monroe, LA 71203-4352
Phone (318) 397-1574

Other practice location 1

2269 Arkansas Rd
West Monroe, LA 71291-7818
Phone (318) 397-1574

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20240725003437 WV Practitioner - Podiatry 0941544233 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camden-Clark Physician CorporationGroup PAC ID 5294885661, 345 clinicians

Practice addresses (Care Compare)

2107 Pike St
Suite 6
Parkersburg, WV 26101-6973
Phone (304) 865-5500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.48 of 100Reported as group
Quality
73.04
Improvement activities
40
Cost
73.78

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Removal of tissue17
Removal of skin lesions22
Removal of nail tissue90
Removal or shaving of skin growth13
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Camden-Clark Physician Corporation CurrentSince Jun 6, 2024 Accepting new patients
Camden Clark Memorial Hospital Corporation Past Accepting new patients

Locations

800 Garfield Ave
Rm G101
Parkersburg, WV 26101
Phone (304) 422-0405

2107 Pike St
Ste 6
Parkersburg, WV 26101
Phone (304) 865-5500

801 Garfield Ave
Ste 120
Parkersburg, WV 26101
Phone (304) 424-2228

2107 Pike St
Ste 10
Parkersburg, WV 26101
Phone (303) 893-9128

2107 Pike St
Parkersburg, WV 26101
Phone (304) 424-7200

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 and National Provider Directory roles.

Hospital & facility affiliations 2

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": "1491868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694131200000",
    "number": "1205369840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3601 DESIARD ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712034352",
            "telephone_number": "318-397-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3601 DESIARD ST",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712034352",
            "telephone_number": "318-397-1574"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2269 Arkansas Rd",
            "address_purpose": "LOCATION",
            "city": "West Monroe",
            "state": "LA",
            "postal_code": "712917818",
            "country_code": "US",
            "telephone_number": "318-397-1574",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLE",
        "first_name": "CHRISTIAN",
        "middle_name": "ANTONIO",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-11",
        "last_updated": "2023-09-08",
        "certification_date": "2023-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "LA",
            "license": "322501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.