Individual provider Active NPI

Carlos Javier Valiente, PA-C

  • Physician Assistant
  • Miami, FL
National Provider Identifier
1659024040
Registry record updated Aug 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9115645 Issued in FL
Practice address
8940 N Kendall Dr Ste 602E
Miami, FL 33176-2177
Phone
(786) 596-8040
Fax
(786) 533-9760
NPI assigned
Jan 27, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2022

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 PA9115645 FL Primary

Addresses

Primary practice location

8940 N Kendall Dr Ste 602E
Miami, FL 33176-2177

Mailing address

PO Box 100905
Atlanta, GA 30384-0905
Phone (786) 596-8040

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address CAR04728@cerner.directbaptisthealth.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220310001212 FL Practitioner - Physician Assistant 5890180871 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5000 University Dr
Coral Gables, FL 33146-2008
Phone (786) 308-3401

6200 SW 73 St
South Miami, FL 33143-4679
Phone (786) 662-4000

8940 N Kendall Dr
Suite 602E
Miami, FL 33176-2177
Phone (786) 596-8040

9555 SW 162 Ave
West Kendall Baptist Hospital
Miami, FL 33196-6408
Phone (786) 467-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.58 of 100Reported as group
Quality
72.08
Promoting interoperability
99
Improvement activities
40
Cost
74.01

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9115645FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Health Medical Group Orthopedics, LLC CurrentSince Feb 28, 2022 Accepting new patients
Baptist Health Medical Group Orthopedics, LLC CurrentSince Feb 28, 2022 Accepting new patients

Locations

1150 Campo Sano Ave
Miami, FL 33146
Phone (305) 348-9414

15955 SW 96th St
Ste 401
Miami, FL 33196
Phone (786) 467-3430

8940 N Kendall Dr
Ste 602E
Miami, FL 33176
Phone (305) 598-3227

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

6200 SW 72nd St
Ste 602
South Miami, FL 33143
Phone (786) 662-0600

Interoperability endpoints

  • Direct secure messaging: car04728@cerner.directbaptisthealth.com

Organizations & group practices 3

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": "1643241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660176000000",
    "number": "1659024040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 100905",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303840905",
            "telephone_number": "786-596-8040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8940 N KENDALL DR STE 602E",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762177",
            "telephone_number": "786-596-8040",
            "fax_number": "786-533-9760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALIENTE",
        "first_name": "CARLOS",
        "middle_name": "JAVIER",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-27",
        "last_updated": "2022-08-11",
        "certification_date": "2022-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "CAR04728@cerner.directbaptisthealth.com",
            "affiliation": "N",
            "address_1": "8940 N Kendall Dr Ste 602E",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331762177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.