Val Valencia, MD
Individual provider Active NPI Family Medicine Physician · Park Ridge, IL
NPI 1285995779 · NPPES record last updated Mar 22, 2021
Key facts
- NPI
- 1285995779
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 036136961 (IL)
- Practice address
- 1775 Dempster St
Park Ridge, IL 60068 - Phone
- (847) 723-8080
- NPI assigned
- May 31, 2012
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Trinity Medical Staffing LLC
Advocate Health and Hospitals Corporation
Practice addresses (Care Compare)
100 Dr Warren Tuttle Dr
Harrisburg, IL 62946-2718
Phone (618) 253-7671
1425 N Randall Rd
Elgin, IL 60123-2300
Phone (847) 742-9800
1775 Dempster St
Park Ridge, IL 60068-1143
214 McHenry Rd
Buffalo Grove, IL 60089-6748
Phone (847) 459-1160
836 W Wellington
Suite G346
Chicago, IL 60657-5147
Phone (773) 296-7147
836 W Wellington Ave
Chicago, IL 60657-5147
Hospital & facility affiliations
- Advocate Hospice
- Advocate Lutheran General Hospital
- Deaconess Illinois Crossroads
- Advocate Illinois Masonic Medical Center
- Southwest Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IL, KS
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150818003861 | IL | Practitioner - Family Practice | 5294040408 | Reassigns benefits to 4 organizations |
| I20250904004714 | KS | Practitioner - Hospitalist | 5294040408 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036136961 | IL | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advocate Health & Hospitals Corp. | Current |
Accepting new patients | |
| Southwest Medical Center | Current |
Accepting new patients | |
| Southwest Medical Center | Current | Accepting new patients | |
| Morrison Community Hospital District | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current |
Accepting new patients | |
| Southwest Medical Center | Current |
Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Hospitalist Consultants Group S.C. | Current |
Accepting new patients | |
| Trinity Medical Staffing LLC | Current |
Accepting new patients | |
| Emergency Department Associates, P.C. | Past | Accepting new patients |
Locations
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
2250 N Illinois Ave
Carbondale, IL 62901
Phone (618) 833-1691
29373 Network Pl
Chicago, IL 60673
100 Dr Warren Tuttle Dr
Harrisburg, IL 62946
Phone (618) 252-4956
1042 Maple Ave
Lisle, IL 60532
Phone (630) 373-8868
611 S Marshall Ave
Mc Leansboro, IL 62859
Phone (618) 542-2146
303 N Jackson St
Morrison, IL 61270
Phone (815) 772-4003
8 Doctors Park Rd
Mount Vernon, IL 62864
Phone (618) 244-5500
1900 Silver Cross Blvd
New Lenox, IL 60451
Phone (815) 300-7106
1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150
315 W 15th St
Liberal, KS 67901
Phone (620) 624-1651
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JGBGAA
- vvalencia217631@direct.myadvocateaurora.org
- vvalencia524327@direct-ehr-ssmhc.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospitalist Physician | 208M00000X | 036136961 | IL | |
| Family Medicine Physician | 207Q00000X | 036136961 | IL | Yes |
Addresses
Primary practice location
1775 Dempster St
Park Ridge, IL 60068
Mailing address
1775 Dempster St
Park Ridge, IL 60068
Phone (847) 723-8080
Other practice location 1
7435 W Talcott Ave
Chicago, IL 60631-3707
Phone (773) 774-8000
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | vvalencia21252@ce-direct.presencehealth.org |
Other providers in Park Ridge, IL
- Nino Usanetashvili
- Nelson Uy
- Stella Ekene Chidimma Uzoewulu
- Rachel Jean Valdez
- Mauricio Valencia
- Yvette Valencia
- Elisa Valles
- Laura Marie Van Dusen
- Jason Van Dyck
- Kevin Francis Vander Heyden
All providers in Park Ridge, IL · Family Medicine Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.