Individual provider Active NPI

Gardy Valentin, M.D.

  • Family Medicine Physician
  • Orlando, FL
National Provider Identifier
1740598457
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
205405 Issued in LA
Practice address
12301 Lake Underhill Rd Ste 215
Orlando, FL 32828-4511
Phone
(321) 235-0692
Fax
(321) 235-0694
NPI assigned
Sep 15, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 21282 MS
Family Medicine Physician 207Q00000X 25MA08826900 NJ
Family Medicine Physician 207Q00000X 205405 LA Primary

Addresses

Primary practice location

12301 Lake Underhill Rd Ste 215
Orlando, FL 32828-4511

Mailing address

12301 Lake Underhill Rd Ste 215
Orlando, FL 32828-4511
Phone (321) 235-0692

Other practice location 1

4962 Florida Blvd
Suite 402
Baton Rouge, LA 70806-4031
Phone (225) 663-2445

Other identifiers 2

IdentifierTypeStateIssuer
2195859MedicaidLA
0428311MedicaidNJ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, NJ, FL3 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
I20120710000634 LA Practitioner - Family Practice 2062696842 Reassigns benefits to 4 organizations
I20150807014003 NJ Practitioner - Family Practice 2062696842 Reassigns benefits to 2 organizations
I20250416003818 FL Practitioner - Family Practice 2062696842 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Care of Central Florida IncGroup PAC ID 8628094018, 39 clinicians

Practice addresses (Care Compare)

12301 Lake Underhill Rd
Suite 215
Orlando, FL 32828-4511
Phone (321) 235-0692

Hospital & facility affiliations

  • Hospice Compassus - Greater New Orleans Hospice, Mandeville, LA, CCN 191569
  • Meadville Medical Center Hospital, Meadville, PA, CCN 390113

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
25MA08826900NJMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Bernard Physician Services, LLC CurrentSince Jan 26, 2018 Accepting new patients
Eoh Acquisition Group, LLC CurrentSince Jan 1, 2022 Accepting new patients
Primary Care of Central Florida Inc Family Medicine CurrentSince Apr 11, 2025 Accepting new patients
Home Physicians Group LLC Family Medicine CurrentSince Aug 1, 2025 Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 19, 2022 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Eoh Acquisition Group, LLC CurrentSince Jan 1, 2022 Accepting new patients
Ochsner Clinic LLC CurrentSince Sep 19, 2022 Accepting new patients
Community School for Apprenticeship Learning Inc Family Medicine Current Accepting new patients
Belle Chasse Physician Services LLC CurrentSince Dec 11, 2022 Accepting new patients
Eoh Acquisition Group, LLC CurrentSince Apr 12, 2022 Accepting new patients
Hub City Physician Group, LLC CurrentSince May 30, 2020 Accepting new patients
Hospice Care of Louisiana, LLC Family Medicine Past Accepting new patients

Locations

12301 Lake Underhill Rd
Ste 215
Orlando, FL 32828
Phone 3212350692102

3564 E Avalon Park Blvd
Orlando, FL 32828
Phone (407) 405-4741

17000 Medical Center Dr
Baton Rouge, LA 70816
Phone (225) 752-2470

4962 Florida Blvd
Fl 402
Baton Rouge, LA 70806
Phone (225) 663-2445

8000 W Judge Perez Dr
Chalmette, LA 70043
Phone (504) 493-6078

1305 E Highway 90
Crowley, LA 70526
Phone (337) 783-3222

180 W Esplanade Ave
Kenner, LA 70065
Phone (504) 464-8284

1514 Jefferson Hwy
New Orleans, LA 70121

2700 Napoleon Ave
New Orleans, LA 70115
Phone (504) 842-3650

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

100 Medical Center Dr
Slidell, LA 70461
Phone (504) 392-3131

300 Central Ave
East Orange, NJ 07018
Phone (973) 266-8460

240 Central Ave
East Orange, NJ 07018
Phone (973) 414-3473

Interoperability endpoints

  • Direct secure messaging: gardy.valentin@4081.securemail.prognocis.com
  • Direct secure messaging: gvalentin149208@direct.ochsner.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 2

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": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1740598457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12301 LAKE UNDERHILL RD STE 215",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284511",
            "telephone_number": "321-235-0692",
            "fax_number": "321-235-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 LAKE UNDERHILL RD STE 215",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328284511",
            "telephone_number": "321-235-0692",
            "fax_number": "321-235-0694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4962 Florida Blvd",
            "address_2": "Suite 402",
            "address_purpose": "LOCATION",
            "city": "Baton Rouge",
            "state": "LA",
            "postal_code": "708064031",
            "country_code": "US",
            "telephone_number": "225-663-2445",
            "fax_number": "225-663-2419",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENTIN",
        "first_name": "GARDY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-09-15",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "21282",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MA08826900",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "205405",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2195859",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0428311",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.