Active NPI
Luis G Valdes
- Physician Assistant
- Aiken, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2719
- Practice address
- 410 University Pkwy Ste 2310
Aiken, SC 29801 - Phone
- (803) 648-1318
- Fax
- (803) 642-7803
- NPI assigned
- Nov 10, 2016
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9110014 | FL | |
| Physician Assistant | 363A00000X | 2719 | SC | Primary |
Addresses
Primary practice location
410 University Pkwy Ste 2310
Aiken, SC 29801
Mailing address
367 S. Gulph Rd
Attn: Ipm Credentialing
King of Prussia, PA 19406-3121
Phone (803) 648-1318
Other practice location 1
747 Ponce De Leon Blvd
Suite 405
Coral Gables, FL 33134-2049
Phone (305) 529-9901
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
137 Miracle Dr
Aiken, SC 29801-6351
Phone (803) 226-0589
Hospital & facility affiliations
- Aiken Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9110014 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aiken Professional Association, LLC | Past | Accepting new patients |
Interoperability endpoints
- lvaldez540349@selfregional.direct-ci.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.
-
- Internal Medicine Physician
- Aiken, SC
- NPI 1639479801
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Aiken, SC
- NPI 1447437157
-
- General Acute Care Hospital
- Aiken, SC
- NPI 1467448498
-
- Neurological Surgery Physician
- Aiken, SC
- NPI 1942610928
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1552867200000",
"number": "1477095164",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "367 S. GULPH RD",
"address_2": "ATTN: IPM CREDENTIALING",
"city": "KING OF PRUSSIA",
"state": "PA",
"postal_code": "194063121",
"telephone_number": "803-648-1318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 UNIVERSITY PKWY STE 2310",
"city": "AIKEN",
"state": "SC",
"postal_code": "29801",
"telephone_number": "803-648-1318",
"fax_number": "803-642-7803"
}
],
"practiceLocations": [
{
"address_1": "747 Ponce De Leon Blvd",
"address_2": "Suite 405",
"address_purpose": "LOCATION",
"city": "Coral Gables",
"state": "FL",
"postal_code": "331342049",
"country_code": "US",
"telephone_number": "305-529-9901",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VALDES",
"first_name": "LUIS",
"middle_name": "G",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-10",
"last_updated": "2019-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9110014",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "2719",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Aiken, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.