Individual provider Active NPI

Osvaldo F. Valenzuela, M.D.

  • Nephrology Physician
  • Atlantis, FL
National Provider Identifier
1508847088
Registry record updated Dec 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
ME77932 Issued in FL
Practice address
5503 S Congress Ave
Suite 103
Atlantis, FL 33462-6614
Phone
(561) 965-7228
Fax
(561) 965-0120
NPI assigned
Nov 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X ME77932 FL
Nephrology Physician 207RN0300X ME77932 FL Primary

Addresses

Primary practice location

5503 S Congress Ave
Suite 103
Atlantis, FL 33462-6614

Mailing address

5503 S Congress Ave
Suite 103
Atlantis, FL 33462-6614
Phone (561) 965-7228

Other identifiers 3

IdentifierTypeStateIssuer
390007335OtherFLRR MEDICARE
46400OtherFLBLUE CROSS BLUE SHIELD
257566300MedicaidFL

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
I20100308000789 FL Practitioner - Nephrology 1557322401 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Kidney Physicians LLCGroup PAC ID 4385925650, 167 clinicians

Practice addresses (Care Compare)

5503 S Congress Ave
Suite 205
Atlantis, FL 33462-6626
Phone (561) 965-7228

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.22 of 100Reported as individual
Quality
71.32
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME77932FLMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Kidney Physicians , LLC Nephrology CurrentSince May 1, 2020 Accepting new patients
Florida Kidney Physicians, LLC Nephrology CurrentSince May 1, 2020 Accepting new patients

Locations

3925 W Boynton Beach Blvd
Ste 107
Boynton Beach, FL 33436
Phone (561) 752-9636

1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173

5503 S Congress Ave
Ste 103
Lake Worth, FL 33462
Phone (561) 963-0072

5503 S Congress Ave
Ste 205
Lake Worth, FL 33462
Phone (561) 964-7511

19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

1221 S State Road 7
Ste 120
Wellington, FL 33414
Phone (561) 766-1324

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: osvaldo.valenzuela.1@15644.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
  • Direct secure messaging: valenzuela@spbn.gwaydirect.com

Organizations & group practices 2

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 4

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": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451347200000",
    "number": "1508847088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5503 S CONGRESS AVE",
            "address_2": "SUITE 103",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626614",
            "telephone_number": "561-965-7228",
            "fax_number": "561-965-0120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5503 S CONGRESS AVE",
            "address_2": "SUITE 103",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626614",
            "telephone_number": "561-965-7228",
            "fax_number": "561-965-0120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA",
        "first_name": "OSVALDO",
        "middle_name": "F.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-10",
        "last_updated": "2015-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME77932",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "ME77932",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "390007335",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "46400",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257566300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.