Ferdinand Valencia Apostol, M.D.

Individual provider Active NPI Internal Medicine Physician · Mount Vernon, IL

NPI 1447216239 · NPPES record last updated Oct 27, 2020

Key facts

NPI
1447216239
Entity type
Individual (NPI type 1)
Primary specialty
Internal Medicine Physician 207R00000X
License
4861573-1205 (UT)
Practice address
2 Good Samaritan Way
Suite 420
Mount Vernon, IL 62864-2408
Phone
(618) 899-4000
Fax
(618) 899-4790
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4861573-1205UTMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Snow Canyon Clinic, Inc. Past
since Sep 1, 2005
Accepting new patients

Interoperability endpoints

  • Direct secure messaging: fapostol76643@direct-ehr-ssmhc.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4861573-1205 UT Yes

Addresses

Primary practice location

2 Good Samaritan Way
Suite 420
Mount Vernon, IL 62864-2408

Mailing address

2 Good Samaritan Way
Suite 420
Mount Vernon, IL 62864-2408
Phone (618) 899-4000

Electronic endpoints

TypeEndpointUseAffiliation
FHIR URL https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ Other
Direct Messaging Address fapostol76643@direct-ehr-ssmhc.com Direct

Other providers in Mount Vernon, IL

All providers in Mount Vernon, IL · Internal Medicine Physician in Illinois

Sources for this page

Verify at the official NPI Registry.