Individual provider Active NPI

Lydia Valderrama-Kunion, M.D.

  • Obstetrics & Gynecology Physician
  • Plantation, FL
National Provider Identifier
1255418786
Registry record updated Jan 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME137571 Issued in FL
Practice address
220 SW 84TH Ave Ste 203
Plantation, FL 33324-2755
Phone
(954) 998-7760
Fax
(954) 998-7761
NPI assigned
Nov 1, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 144500 NY
Gynecology Physician 207VG0400X 144500 NY
Obstetrics Physician 207VX0000X 144500 NY
Obstetrics & Gynecology Physician 207V00000X ME137571 FL Primary

Addresses

Primary practice location

220 SW 84TH Ave Ste 203
Plantation, FL 33324-2755

Mailing address

220 SW 84TH Ave Ste 203
Plantation, FL 33324-2755
Phone (954) 998-7760

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220928003795 FL Practitioner - Obstetrics/Gynecology 1254514151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
State University of New York at Stony Brook, School of Medicine, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Woman Care LLCGroup PAC ID 5395807218, 607 clinicians

Practice addresses (Care Compare)

220 SW 84TH Ave
Suite 203
Plantation, FL 33324-2755
Phone (954) 998-7760

Merit-based Incentive Payment System (MIPS)

Final score
88.76 of 100Reported as group
Quality
84.84
Promoting interoperability
100
Improvement activities
40
Cost
77.7

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
144500NYMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Woman Care, LLC Obstetrics & Gynecology CurrentSince Nov 1, 2022 Accepting new patients
Womencare PA Past Accepting new patients

Locations

1601 Clint Moore Rd
Ste 210
Boca Raton, FL 33487
Phone (561) 488-1801

2815 S Seacrest Blvd
Ste 112
Boynton Beach, FL 33435
Phone (561) 368-0233

220 SW 84th Ave
Ste 203
Plantation, FL 33324
Phone (954) 474-0243

Interoperability endpoints

  • Direct secure messaging: lydia.valderrama-kunion.1@2183.direct.athenahealth.com
  • Direct secure messaging: lydia.valderrama-kunio.1@16705.direct.athenahealth.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672876800000",
    "number": "1255418786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SW 84TH AVE STE 203",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242755",
            "telephone_number": "954-998-7760",
            "fax_number": "954-998-7761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SW 84TH AVE STE 203",
            "city": "PLANTATION",
            "state": "FL",
            "postal_code": "333242755",
            "telephone_number": "954-998-7760",
            "fax_number": "954-998-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDERRAMA-KUNION",
        "first_name": "LYDIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2023-01-05",
        "certification_date": "2023-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NY",
            "license": "144500",
            "primary": false
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "NY",
            "license": "144500",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "NY",
            "license": "144500",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME137571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plantation, FL

Sources for this page

Verify at the official NPI Registry.