Individual provider Active NPI

Oscar Louis De Valle, M.D.

  • Family Medicine Physician
  • Houston, TX
National Provider Identifier
1669415196
Registry record updated Oct 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
J3778 Issued in TX
Practice address
2028 Wirt Rd
Houston, TX 77055-1602
Phone
(713) 682-7066
Fax
(713) 682-5062
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X C8001 AR
Family Medicine Physician 207Q00000X J3778 TX Primary

Addresses

Primary practice location

2028 Wirt Rd
Houston, TX 77055-1602

Mailing address

2028 Wirt Rd
Houston, TX 77055-1602
Phone (713) 682-7066

Other identifiers 3

IdentifierTypeStateIssuer
1116402-04MedicaidTX
111640201MedicaidTX
111640202MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040225000666 TX Practitioner - Family Practice 0941196166 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2028 Wirt Rd
Houston, TX 77055-1602
Phone (713) 682-7066

8410 Fondren Rd
Houston, TX 77074-5616
Phone (713) 484-7455

9720 Jones Rd
Suite 240
Houston, TX 77065-4772
Phone (281) 897-8142

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C8001ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
De Valle & Associates Physicians PLLC Family Medicine CurrentSince Aug 15, 1995 Accepting new patients
Clinica Hispana II, P.a. Family Medicine CurrentSince May 5, 2003 Accepting new patients
Clinica Hispana, P.a. Family Medicine CurrentSince May 3, 1993 Accepting new patients

Locations

8410 Fondren Rd
Houston, TX 77074
Phone (713) 271-6567

2028 Wirt Rd
Houston, TX 77055
Phone (713) 682-7066

9720 Jones Rd
Ste 240
Houston, TX 77065
Phone (281) 897-8142

Interoperability endpoints

  • Direct secure messaging: odevalle@1770.securemail.prognocis.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.

NPI Registry JSON

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

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571443200000",
    "number": "1669415196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 WIRT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770551602",
            "telephone_number": "713-682-7066",
            "fax_number": "832-916-2813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 WIRT RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770551602",
            "telephone_number": "713-682-7066",
            "fax_number": "713-682-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE VALLE",
        "first_name": "OSCAR",
        "middle_name": "LOUIS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2019-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "C8001",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "J3778",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1116402-04",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111640201",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "111640202",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.