Individual provider Active NPI

David A Valbuena, DPM

  • Foot & Ankle Surgery Podiatrist
  • Savannah, GA
National Provider Identifier
1528071198
Registry record updated Jan 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
973 Issued in GA
Practice address
310 Eisenhower Dr
BLDG # 7
Savannah, GA 31406-2632
Phone
(912) 355-6503
Fax
(912) 355-9837
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 973 GA Primary

Addresses

Primary practice location

310 Eisenhower Dr
BLDG # 7
Savannah, GA 31406-2632

Mailing address

310 Eisenhower Dr
BLDG # 7
Savannah, GA 31406-2632
Phone (912) 355-6503

Other identifiers 1

IdentifierTypeStateIssuer
897396002AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040602000886 GA Practitioner - Podiatry 0941282156 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
SJC Medical Group IncGroup PAC ID 7719978105, 57 clinicians

Practice addresses (Care Compare)

101 Saint Josephs Candler Dr
Pooler, GA 31322-9585

11705 Mercy Blvd
Savannah, GA 31419-1711
Phone (912) 819-4949

310 Eisenhower Dr
BLDG 7
Savannah, GA 31406-2632
Phone (912) 355-6503

5353 Reynolds St
Savannah, GA 31405-6015
Phone (912) 819-7800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue162
Removal of skin lesions1-10
Removal of nail tissue729
Removal or shaving of skin growth348
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
973GAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
SJC Medical Group Inc CurrentSince May 1, 2017 Accepting new patients
Candler Medical Group, Inc. - Islands Past Accepting new patients

Locations

101 Saint Josephs Candler Dr
Ste 200
Pooler, GA 31322
Phone (912) 748-1999

101 Saint Josephs Candler Dr
Ste 320
Pooler, GA 31322
Phone (912) 355-6503

11705 Mercy Blvd
Savannah, GA 31419
Phone (912) 819-2452

310 Eisenhower Dr
Ste 7A
Savannah, GA 31406
Phone (912) 355-6503

310 Eisenhower Dr
Bldg 7
Savannah, GA 31406
Phone (912) 355-6503

Interoperability endpoints

  • Direct secure messaging: drvalbuena@direct.sjchs.org

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 2

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484524800000",
    "number": "1528071198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 EISENHOWER DR",
            "address_2": "BLDG # 7",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062632",
            "telephone_number": "912-355-6503",
            "fax_number": "912-355-9837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 EISENHOWER DR",
            "address_2": "BLDG # 7",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314062632",
            "telephone_number": "912-355-6503",
            "fax_number": "912-355-9837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALBUENA",
        "first_name": "DAVID",
        "middle_name": "A",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2017-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "GA",
            "license": "973",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "897396002A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

Verify at the official NPI Registry.