Active NPI
Renan Pimentel Valdivia, MD
- Nephrology Physician
- Temple Terrace, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- ME112583
- Practice address
- 12662 Telecom Dr
Temple Terrace, FL 33637-0935 - Phone
- (813) 910-0030
- Fax
- (813) 971-6473
- NPI assigned
- Jul 13, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Nephrology Physician
- Temple Terrace, FL
- NPI 1760831564
FL, Nephrology
-
- Internal Medicine Physician
- Orlando, FL
- NPI 1669429577
FL, Internal Medicine
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1184709057
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Tampa, FL
- NPI 1518196252
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Zephyrhills, FL
- NPI 1255579629
Dialysis facility
-
- General Acute Care Hospital
- Wesley Chapel, FL
- NPI 1073893020
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Florida Kidney Physicians LLC
Practice addresses (Care Compare)
3419 N Lakeview Dr
Tampa, FL 33618-1332
Phone (813) 910-0030
Hospital & facility affiliations
- DaVita USF Dialysis
- DaVita Zephyrhills Dialysis
- Adventhealth Tampa
- Adventhealth Wesley Chapel
- Baycare Hospital Wesley Chapel
- St Josephs Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.33 of 100
- Quality
- 70.52
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.91
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: Yes
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120531000518 | FL | Practitioner - Internal Medicine | 4981741154 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME112583 | FL | MD | Internal Medicine Physician |
Practice roles (5 of 7)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Florida Kidney Physicians , LLC | Nephrology | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Florida Kidney Physicians, LLC | Nephrology | Current | Accepting new patients |
| Orlando Health, Inc. | Current | Accepting new patients |
Locations
1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173
19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558
86 Underwood St
#80
Orlando, FL 32806
Phone (321) 843-5270
86 Underwood St
Orlando, FL 32806
Phone (321) 841-5142
32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820
3419 N Lakeview Dr
Tampa, FL 33618
Phone (813) 844-7600
12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Interoperability endpoints
- https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
- renan.pimental.1@15644.direct.athenahealth.com
- rpimentelvaldivia26019@orlandohealth.medalliesdirect.net
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | ME112583 | FL | Primary |
| Internal Medicine Physician | 207R00000X | 003425 | NY | |
| Internal Medicine Physician | 207R00000X | ME112583 | FL |
Addresses
NPPES NPI RegistryPrimary practice location
12662 Telecom Dr
Temple Terrace, FL 33637-0935
Mailing address
12662 Telecom Dr
Temple Terrace, FL 33637-0935
Phone (813) 910-0030
Other identifiers 4
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 102385934 | Medicaid | PA | |
| ME112583 | Other | FL | MEDICAL LICENSE |
| 004727800 | Medicaid | FL | |
| 03153555 | Medicaid | NY |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 30, 2025.
{
"created_epoch": "1184284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1761782400000",
"number": "1689873200",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12662 TELECOM DR",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370935",
"telephone_number": "813-910-0030",
"fax_number": "813-971-6473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12662 TELECOM DR",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336370935",
"telephone_number": "813-910-0030",
"fax_number": "813-971-6473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PIMENTEL VALDIVIA",
"first_name": "RENAN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-13",
"last_updated": "2025-10-30",
"certification_date": "2025-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "FL",
"license": "ME112583",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "003425",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME112583",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "102385934",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "ME112583",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004727800",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03153555",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Temple Terrace, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.