Individual provider Active NPI

Valerie Papaconstantinou Bauer, MD

  • Colon & Rectal Surgery Physician
  • Cherry Hill, NJ
National Provider Identifier
1609812353
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
25MA11338500 Issued in NJ
Practice address
2211 Chapel Ave W Ste 301
Cherry Hill, NJ 08002-2062
Phone
(856) 665-2017
Fax
(856) 488-6769
NPI assigned
Jun 21, 2006
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 25MA11338500 NJ Primary

Addresses

Primary practice location

2211 Chapel Ave W Ste 301
Cherry Hill, NJ 08002-2062

Mailing address

PO Box 824967
Philadelphia, PA 19182-4967
Phone (800) 941-8933

Other practice location 1

2060 Space Park Dr
Suite 300
Houston, TX 77058-3600
Phone (409) 572-2533

Other practice location 2

2600 N State Highway 118
Alpine, TX 79830-2002
Phone (432) 837-3447

Other names 1

  • Valerie Papaconstantinou Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AL, NJ3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20061006000225 TX Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology) 5193721652 Reassigns benefits to 1 organization
I20200526003195 AL Practitioner - Colorectal Surgery (Proctology) 5193721652 Reassigns benefits to 1 organization
I20220120002888 NJ Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 5193721652 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
University of Texas Medical Branch at Galveston, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

18 E Laurel Rd
Stratford, NJ 08084-1327
Phone (856) 513-4124

2201 Chapel Ave W
Cherry Hill, NJ 08002-2048
Phone (856) 513-4124

2211 Chapel Ave W
301 Kha General Surgery
Cherry Hill, NJ 08002-2048
Phone (856) 665-2017

435 Hurffville Cross Keys Rd
Turnersville, NJ 08012-2453
Phone (856) 513-4124

457 Haddonfield Rd
Suite 110
Cherry Hill, NJ 08002-2223
Phone (844) 542-2273

73 N Maple Ave B
Kennedy Health Alliance
Marlton, NJ 08053-1782
Phone (844) 542-2273

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy23
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cape Physicians Associates PA CurrentSince Jan 11, 2022 Accepting new patients
Jackson Hospital and Clinic, Inc. Current Accepting new patients
Colorectal Surgical Associates CurrentSince May 26, 2009 Accepting new patients
Jackson Hospital & Clinic, Inc. CurrentSince Dec 1, 2020 Accepting new patients
Jackson Hospital and Clinic, Inc Colon & Rectal Surgery CurrentSince Dec 1, 2020 Accepting new patients
McAllen Hospitalist Group, PLLC Surgery CurrentSince Jun 4, 2020 Accepting new patients
Kennedy Medical Group Practice, P.C. Surgery CurrentSince Mar 15, 2024 Accepting new patients
Big Bend Medical Group CurrentSince Oct 1, 2018 Accepting new patients
Big Bend Medical Group Surgery CurrentSince Oct 1, 2018 Accepting new patients
Kennedy Medical Group Practice, P.C. CurrentSince Aug 18, 2024 Accepting new patients
Kennedy Medical Group Practice PC CurrentSince Mar 15, 2024 Accepting new patients
Kennedy Medical Group Practice P.C. Past Accepting new patients

Locations

1722 Pine St
Ste 203
Montgomery, AL 36106
Phone (334) 271-1263

1722 Pine St
Ste 402
Montgomery, AL 36106
Phone (334) 293-8082

1722 Pine St
Ste 503
Montgomery, AL 36106
Phone (334) 240-2337

1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000

2 Stone Harbor Blvd
Cape May Court House, NJ 08210
Phone (609) 463-2000

223 N Main St
Ste 103
Cape May Court House, NJ 08210
Phone (609) 463-2273

2211 Chapel Ave W
Ste 301
Cherry Hill, NJ 08002
Phone (856) 665-2017

457 Haddonfield Rd
Ste 110
Cherry Hill, NJ 08002
Phone (856) 406-4091

2600 N State Highway 118
Alpine, TX 79830
Phone (432) 837-0430

1501 W 11th Pl
Ste 100
Big Spring, TX 79720
Phone (432) 263-6018

1608 W FM 700
Ste C
Big Spring, TX 79720
Phone (432) 263-7700

1102 W Trenton Rd
Edinburg, TX 78539
Phone (956) 388-6500

1315 St Joseph Pkwy
Ste 1108
Houston, TX 77002

7900 Fannin St
Ste 2700
Houston, TX 77054
Phone 7137900600225

301 W Expressway 83
McAllen, TX 78503
Phone (956) 467-9552

7101 Eastridge Rd
Odessa, TX 79765
Phone (432) 550-0048

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14669/brand/1/csg/1/fhir/r4
  • Direct secure messaging: valerie_bauer_-_md1@yourcarecommunity.org
  • Direct secure messaging: valerie.bauer.1@6133.direct.athenahealth.com
  • Direct secure messaging: valeriebauer@crhs.allscriptsdirect.net

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1150848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1609812353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 824967",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191824967",
            "telephone_number": "800-941-8933",
            "fax_number": "732-918-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2211 CHAPEL AVE W STE 301",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080022062",
            "telephone_number": "856-665-2017",
            "fax_number": "856-488-6769"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2060 Space Park Dr",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770583600",
            "country_code": "US",
            "telephone_number": "409-572-2533",
            "fax_number": "281-678-8297",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2600 N State Highway 118",
            "address_purpose": "LOCATION",
            "city": "Alpine",
            "state": "TX",
            "postal_code": "798302002",
            "country_code": "US",
            "telephone_number": "432-837-3447",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAUER",
        "first_name": "VALERIE",
        "middle_name": "PAPACONSTANTINOU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-21",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "NJ",
            "license": "25MA11338500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VALERIE",
            "last_name": "PAPACONSTANTINOU",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cherry Hill, NJ

Sources for this page

Verify at the official NPI Registry.