Individual provider Active NPI

Michael G Valladares, DO

  • Gastroenterology Physician
  • Miami, FL
National Provider Identifier
1407167430
Registry record updated Feb 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OS11915 Issued in FL
Practice address
11440 N Kendall Drive
Suite 306
Miami, FL 33176-1025
Phone
(305) 402-4563
Fax
(305) 918-1077
NPI assigned
Jun 24, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X OS11915 FL Primary

Addresses

Primary practice location

11440 N Kendall Drive
Suite 306
Miami, FL 33176-1025

Mailing address

5101 SW 8TH Street
Suite 200
Coral Gables, FL 33134
Phone (305) 359-5037

Other practice location 1

18044 NW 6th St Ste 104
Pembroke Pines, FL 33029-2824
Phone (305) 822-4107

Other identifiers 1

IdentifierTypeStateIssuer
014443500MedicaidFL

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
I20130415000126 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 2365688504 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastromed LLCGroup PAC ID 2365574621, 38 clinicians

Practice addresses (Care Compare)

11440 N Kendall Dr
Suite 306
Miami, FL 33176-1025
Phone (305) 402-4563

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy33
Upper gastrointestinal (GI) endoscopy for acid reflux55

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS11915FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gastromed, LLC Gastroenterology CurrentSince May 15, 2021 Accepting new patients
Homestead Endoscopy Center LLC PastSince May 15, 2021 Accepting new patients
Coral View Surgery Center, LLC Past Accepting new patients

Locations

5101 SW 8th St
Coral Gables, FL 33134
Phone (305) 441-1570

5101 SW 8th St
Ste 200
Coral Gables, FL 33134
Phone (305) 262-6060

5101 SW 8th St
Fl First
Coral Gables, FL 33134

975 Baptist Way
Homestead, FL 33033
Phone (786) 243-8000

434 Washington Ave
Homestead, FL 33030
Phone (786) 384-7101

11440 N Kendall Dr
Ste 306
Miami, FL 33176
Phone (305) 402-4563

8390 W Flagler St
Ste 221
Miami, FL 33144
Phone (305) 226-5574

11760 SW 40th St
Ste 403
Miami, FL 33175
Phone (305) 226-2020

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

6200 SW 73rd St
#69
South Miami, FL 33143
Phone (786) 662-4000

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

Interoperability endpoints

  • Direct secure messaging: michaelvalladares@dma.allscriptsdirect.net

Organizations & group practices 3

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": "1277337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738800000000",
    "number": "1407167430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5101 SW 8TH STREET",
            "address_2": "SUITE 200",
            "city": "CORAL GABLES",
            "state": "FL",
            "postal_code": "33134",
            "telephone_number": "305-359-5037",
            "fax_number": "786-509-5544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11440 N KENDALL DRIVE",
            "address_2": "SUITE 306",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331761025",
            "telephone_number": "305-402-4563",
            "fax_number": "305-918-1077"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "18044 NW 6th St Ste 104",
            "address_purpose": "LOCATION",
            "city": "Pembroke Pines",
            "state": "FL",
            "postal_code": "330292824",
            "country_code": "US",
            "telephone_number": "305-822-4107",
            "fax_number": "305-822-5086",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALLADARES",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-24",
        "last_updated": "2025-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "OS11915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014443500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.