Individual provider Active NPI

Ricardo Luis Lopez-Valle, MD

  • Gastroenterology Physician
  • Venice, FL
National Provider Identifier
1740737048
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME168476 Issued in FL
Practice address
825 Venetian Pkwy
Venice, FL 34285-7163
Phone
(941) 483-5730
Fax
(941) 483-5740
NPI assigned
Sep 2, 2016
Last updated
May 17, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME168476 FL Primary

Addresses

Primary practice location

825 Venetian Pkwy
Venice, FL 34285-7163

Mailing address

825 Venetian Pkwy
Venice, FL 34285-7163
Phone (941) 483-5730

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240530001413 FL Practitioner - Gastroenterology 7113369547 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Puerto Rico School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Digestive Health Specialists, LLPGroup PAC ID 6507054582, 86 clinicians

Practice addresses (Care Compare)

825 Venetian Pkwy
Venice, FL 34285-7163
Phone (941) 483-5730

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy222
Upper gastrointestinal (GI) endoscopy for acid reflux156

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Digestive Health Specialists, LLP Gastroenterology CurrentSince Jul 15, 2024 Accepting new patients

Locations

1886 59th St W
Bradenton, FL 34209
Phone (941) 361-1100

10920 Technology Ter
Lakewood Ranch, FL 34211
Phone (941) 216-4835

825 Venetian Pkwy
Venice, FL 34285
Phone (941) 483-5730

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 1

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 3

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": "1472774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1740737048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "825 VENETIAN PKWY",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857163",
            "telephone_number": "941-483-5730",
            "fax_number": "941-483-5740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 VENETIAN PKWY",
            "city": "VENICE",
            "state": "FL",
            "postal_code": "342857163",
            "telephone_number": "941-483-5730",
            "fax_number": "941-483-5740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-VALLE",
        "first_name": "RICARDO",
        "middle_name": "LUIS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-09-02",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME168476",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Venice, FL

Sources for this page

Verify at the official NPI Registry.