Individual provider Active NPI

Enrique Garcia-Valenzuela, MD

  • Retina Specialist (Ophthalmology) Physician
  • Des Plaines, IL
National Provider Identifier
1356316855
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
036113179 Issued in IL
Practice address
8901 W. Golf Road
206
Des Plaines, IL 60016
Phone
(847) 699-0006
Fax
(847) 699-1744
NPI assigned
Feb 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036-113179 IL
Retina Specialist (Ophthalmology) Physician 207WX0107X 036113179 IL Primary

Addresses

Primary practice location

8901 W. Golf Road
206
Des Plaines, IL 60016

Mailing address

8901 W. Golf Road
206
Des Plaines, IL 60016-6850
Phone (847) 699-0006

Other identifiers 1

IdentifierTypeStateIssuer
036113179MedicaidIL

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address egarciavalenzuela252236@direct.myadvocateaurora.org
FHIR URL https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050505001151 IL Practitioner - Ophthalmology 4981641602 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Retina Consultants SCGroup PAC ID 6800833716, 6 clinicians

Practice addresses (Care Compare)

8901 Golf Rd
Suite 206
Des Plaines, IL 60016-4028
Phone (847) 698-6300

Hospital & facility affiliations

  • St Alexius Medical Center Hospital, Hoffman Estates, IL, CCN 140290
  • Northwest Community Hospital 1 Hospital, Arlington Heights, IL, CCN 140252

Merit-based Incentive Payment System (MIPS)

Final score
99.1 of 100Reported as individual
Quality
100
Promoting interoperability
97
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-113179ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Midwest Retina Consultants, S.C. Ophthalmology CurrentSince May 1, 2005 Accepting new patients

Locations

1100 W Central Rd
#2
Arlington Heights, IL 60005

1100 W Central Rd
Lowr
Arlington Heights, IL 60005
Phone (847) 255-7246

1100 W Central Rd
Ste LL2
Arlington Heights, IL 60005

7447 W Talcott Ave
Ste 367
Chicago, IL 60631
Phone (773) 957-0150

8901 Golf Rd
Ste 206
Des Plaines, IL 60016
Phone (847) 698-6300

800 Biesterfield Rd
Ste 730
Elk Grove Vlg, IL 60007
Phone (877) 898-3937

1555 N Barrington Rd
Ste 4500
Hoffman Estates, IL 60169
Phone (847) 823-2127

Interoperability endpoints

  • Direct secure messaging: egarciavalenzuela252236@direct.myadvocateaurora.org
  • Direct secure messaging: egarcia@mwretina.intellechartdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1140393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1356316855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8901 W. GOLF ROAD",
            "address_2": "206",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166850",
            "telephone_number": "847-699-0006",
            "fax_number": "847-699-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8901 W. GOLF ROAD",
            "address_2": "206",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60016",
            "telephone_number": "847-699-0006",
            "fax_number": "847-699-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA-VALENZUELA",
        "first_name": "ENRIQUE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-113179",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IL",
            "license": "036113179",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036113179",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "egarciavalenzuela252236@direct.myadvocateaurora.org",
            "affiliation": "N",
            "address_1": "8901 W. Golf Road #206",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicfhir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "8901 W. Golf Road #206",
            "city": "Des Plaines",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60016",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.