Ruddy Valdes, DO

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

OS0007985 Issued in FL

Practice address

524 W Sagamore Ave
Clewiston, FL 33440-3514

Phone

(954) 615-7179

NPI assigned

Jan 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Enrolled in FL, TX, GA3 enrollments

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 3

Specialty

Emergency Medicine

Education

Nova Southeastern College of Osteo Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Small Hospital Innovations LLCGroup PAC ID 0840415444, 95 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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.

• Small Hospital Innovations LLC

  • Emergency Medicine Physician
  • Clewiston, FL
  • NPI 1184040560

  GA, TX

  Medicare reassignment Care Compare group NPD Authorized official
• Shi Keys LLC

  • Emergency Medicine Physician
  • Tavernier, FL
  • NPI 1952903536
  Medicare reassignment NPD Authorized official
• Shi Specialists LLC

  • Body Imaging Physician
  • Clewiston, FL
  • NPI 1912761917
  Medicare reassignment NPD Authorized official
• Shi Anesthesia, LLC

  • Anesthesiology Physician
  • Marathon, FL
  • NPI 1194418590
  NPD Authorized official
• Hospital Innovation Physicians LLC

  • Hospitalist Physician
  • Clewiston, FL
  • NPI 1841708005
  NPD (past) Authorized official
• Total ICU Care LLC

  • Internal Medicine Physician
  • Lehigh Acres, FL
  • NPI 1225613268
  NPD (past) Authorized official
• Hospital Specialist Solutions, LLC

  • Diagnostic Radiology Physician
  • Corpus Christi, TX
  • NPI 1982595856
  NPD (past) Authorized official
• Inphynet Contracting Services LLC

  • Emergency Medicine Physician
  • Delray Beach, FL
  • NPI 1073556767
  NPD (past)
• Inphynet South Broward LLC

  • Emergency Medicine Physician
  • Hollywood, FL
  • NPI 1871521880
  NPD (past)

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

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674691200000",
    "number": "1245210756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 RED RD STE 401",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256014",
            "telephone_number": "786-457-4900"
        },
        {
            "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": "954-615-7179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES",
        "first_name": "RUDDY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2023-01-26",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "OS0007985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258468900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "49814",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMCR",
            "identifier": "P0007985",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003267157A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nelkis Treto
• Sandra Turino
• Unique Exceptional Services LLC
• Lizet Urquiza
• Jesenia Valdes, OWNER
• Chinh Van, DDS
• Kevin Van, D.D.S
• Aimee Vazquez Llanos
• Evian Vichot Perez
• Wal-Mart Stores East LP

• Emergency Medicine Physician in Clewiston, FL
• Providers in Clewiston, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.