Individual provider Active NPI

Ricardo Alcides Valle, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1538584677
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08609 Issued in TX
Practice address
1623 Airline Dr
Suite 100-B
Houston, TX 77009-3607
Phone
(713) 634-1000
NPI assigned
Feb 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA08609 TX Primary

Addresses

Primary practice location

1623 Airline Dr
Suite 100-B
Houston, TX 77009-3607

Mailing address

1623 Airline Dr
Suite 100-B
Houston, TX 77009-3607
Phone (713) 634-1000

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140604002483 TX Practitioner - Physician Assistant 2769606185 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Memorial Hermann Urgent Care PLLCGroup PAC ID 4880071679, 115 clinicians

Practice addresses (Care Compare)

2168 Spring Stuebner Rd
Suite 270
Spring, TX 77389-5309
Phone (346) 478-1976

300 N Loop
Suite 100 Memorial Hermann Gohealth UC
Houston, TX 77008-2853
Phone (713) 426-9650

4057 Riley Fuzzel Rd
Spring, TX 77386-4632
Phone (281) 602-0450

9595 Six Pines Dr
Suite 1400
The Woodlands, TX 77380-1535
Phone (346) 478-1615

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA08609TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Nluc PLLC CurrentSince Jan 1, 2022 Accepting new patients
Baylor College of Medicine CurrentSince May 1, 2014 Accepting new patients
Baylor College of Medicine CurrentSince May 1, 2014 Accepting new patients
Next Level MV LLC Current Accepting new patients

Locations

7710 Garth Rd
Ste A
Baytown, TX 77521

1246 N FM 3083 Rd W
Ste B
Conroe, TX 77304

2 Greenway Plz
Ste 900
Houston, TX 77046
Phone (713) 798-1835

1623 Airline Dr
Ste 100B
Houston, TX 77009
Phone (713) 218-2697

1504 Taub Loop
Houston, TX 77030
Phone (713) 873-2860

8325 Broadway St
Ste 220
Pearland, TX 77581
Phone (281) 873-8162

5211 FM 2920 Rd
Ste 101
Spring, TX 77388

16312 Southwest Fwy
Ste 18
Sugar Land, TX 77479

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1538584677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1623 AIRLINE DR",
            "address_2": "SUITE 100-B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770093607",
            "telephone_number": "713-634-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1623 AIRLINE DR",
            "address_2": "SUITE 100-B",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770093607",
            "telephone_number": "713-634-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLE",
        "first_name": "RICARDO",
        "middle_name": "ALCIDES",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-26",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08609",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.