Active NPI
Glenn Valladares, MD
- Emergency Medicine Physician
- Valley Stream, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 210148
- Practice address
- 900 Franklin Ave
Valley Stream, NY 11580-2145 - Phone
- (800) 376-5566
- NPI assigned
- Jul 8, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 210148 | NY | Primary |
| Emergency Medicine Physician | 207P00000X | 01077043A | IN |
Addresses
Primary practice location
900 Franklin Ave
Valley Stream, NY 11580-2145
Mailing address
PO Box 33352
Hartford, CT 06150-3352
Other practice location 1
2401 W University Ave
Muncie, IN 47303-3428
Phone (765) 747-3111
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gvalladares@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
327 Beach 19TH St
Far Rockaway, NY 11691-4423
Phone (240) 686-2300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01077043A | IN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Island Emergency Medical Services, P.C. | Emergency Medicine | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Port City Emergency Physicians LLP | Emergency Medicine | Current | Accepting new patients |
| Port City Emergency Physicians LLP | Emergency Medicine | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Ellenville Emergency Medical Associates PLLC | Emergency Medicine | Current | Accepting new patients |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| St James Hospital | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Icahn School of Medicine at Mount Sinai | Current | Accepting new patients | |
| Clearfield Hospital | Emergency Medicine | Past | Accepting new patients |
| Clearfield Hospital | Past | Accepting new patients | |
| Brookdale Hospital Medical Center | Past | Accepting new patients | |
| Franklin Hospital | Past | Accepting new patients | |
| Franklin Physician Services | Emergency Medicine | Past | Accepting new patients |
| Kingsbrook Medical Associates, PC | Past | Accepting new patients |
Locations
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
2401 W University Ave
Muncie, IN 47303
Phone (765) 747-3111
585 Schenectady Ave
#209
Brooklyn, NY 11203
585 Schenectady Ave
Brooklyn, NY 11203
Phone (718) 604-0461
1235 Linden Blvd
Fl 2
Brooklyn, NY 11212
Phone (718) 240-7143
1 Brookdale Plz
Brooklyn, NY 11212
Phone (718) 240-5212
10 Healthy Way
Ellenville, NY 12428
Phone 8456476400294
7901 Broadway
Rm A119
Elmhurst, NY 11373
Phone (718) 334-3915
327 Beach 19th St
Far Rockaway, NY 11691
Phone (718) 689-7640
7901 Broadway
Flushing, NY 11373
Phone (718) 334-2156
150 Broad St
Hamilton, NY 13346
Phone (315) 824-1100
7309 Seneca Rd N
Ste 108
Hornell, NY 14843
Phone (607) 385-3790
7329 Seneca Rd N
North Hornell, NY 14843
Phone (607) 247-2200
110 W 6th St
Oswego, NY 13126
Phone (315) 349-5511
1101 Nott St
Schenectady, NY 12308
Phone (518) 243-1916
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
Interoperability endpoints
- gvalladares489439@direct.urmc.rochester.edu
Organizations & group practices 28
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.
-
- Emergency Medicine Physician
- Far Rockaway, NY
- NPI 1639160385
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1720028772
-
dba Mount Sinai Elmhurst Faculty practice Group
- Orthopaedic Surgery Physician
- Elmhurst, NY
- NPI 1609120674
-
- Emergency Medicine Physician
- Oswego, NY
- NPI 1134370547
-
- Rural Acute Care Hospital
- Hornell, NY
- NPI 1013985399
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- General Acute Care Hospital
- Dansville, NY
- NPI 1982625661
-
- Emergency Medicine Physician
- Ellenville, NY
- NPI 1477945905
-
dba Mount Sinai Elmhurst Faculty Practice Group
- Anesthesiology Physician
- Elmhurst, NY
- NPI 1063766038
-
dba Mount Sinai Elmhurst Faculty Practice Group
- Surgery Physician
- Elmhurst, NY
- NPI 1073867040
-
dba Mount Sinai Elmhurst Faculty Practice Group
- Internal Medicine Physician
- Elmhurst, NY
- NPI 1184977324
-
dba Mount Sinai Elmhurst Faculty Practice Group
- Cardiovascular Disease Physician
- Elmhurst, NY
- NPI 1417201484
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Dansville, NY
- NPI 1982625661
-
- Rural Acute Care Hospital
- Hornell, NY
- NPI 1013985399
-
- General Acute Care Hospital
- Albany, NY
- NPI 1497701106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152316800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761091200000",
"number": "1457384000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 33352",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061503352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "900 FRANKLIN AVE",
"city": "VALLEY STREAM",
"state": "NY",
"postal_code": "115802145",
"telephone_number": "800-376-5566"
}
],
"practiceLocations": [
{
"address_1": "2401 W University Ave",
"address_purpose": "LOCATION",
"city": "Muncie",
"state": "IN",
"postal_code": "473033428",
"country_code": "US",
"telephone_number": "765-747-3111",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALLADARES",
"first_name": "GLENN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-08",
"last_updated": "2025-10-22",
"certification_date": "2025-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "NY",
"license": "210148",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01077043A",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gvalladares@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "2401 W University Ave",
"city": "Muncie",
"state": "IN",
"country_code": "US",
"postal_code": "473033428",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Valley Stream, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.