Individual provider Active NPI

Glenn Valladares, MD

  • Emergency Medicine Physician
  • Valley Stream, NY
National Provider Identifier
1457384000
Registry record updated Oct 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
210148 Issued in NY
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

Updated by the provider on Oct 22, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
Direct Messaging Address gvalladares@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040915001253 NY Practitioner - Emergency Medicine 4486621638 Reassigns benefits to 6 organizations
I20160923002142 IN Practitioner - Emergency Medicine 4486621638 Reassigns benefits to 1 organization

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
Island Emergency Medical Services PCGroup PAC ID 4981503513, 138 clinicians

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

LicenseStateTypeSpecialty
01077043AINMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Brookdale Hospital Medical Center CurrentSince Sep 27, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Island Emergency Medical Services, P.C. Emergency Medicine CurrentSince Feb 1, 2025 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 CurrentSince Nov 1, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Port City Emergency Physicians LLP Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Port City Emergency Physicians LLP Emergency Medicine CurrentSince Jan 1, 2023 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Feb 1, 2021 Accepting new patients
Ellenville Emergency Medical Associates PLLC Emergency Medicine CurrentSince Sep 19, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Feb 1, 2021 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Brookdale Hospital Medical Center CurrentSince Sep 27, 2016 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
St James Hospital CurrentSince May 24, 2024 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

  • Direct secure messaging: 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.

View all 28

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": "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

Verify at the official NPI Registry.