Raidel Valdes-Crespo, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME119106 Issued in FL

Practice address

4730 N Habana Ave Ste 204
Tampa, FL 33614-7148

Phone

(786) 715-8147

NPI assigned

Dec 25, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Internal Medicine

Education

Other, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Community Hospitalists of PinellaGroup PAC ID 0648267609, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baycare Home Care Inc Home health agency, Dunedin, FL, CCN 107415
• Affinity Care of Hillsborough LLC Hospice, Tampa, FL, CCN 101576
• Affinity Care of Manatee County LLC Hospice, Bradenton, FL, CCN 101571
• Mease Countryside Hospital Hospital, Safety Harbor, FL, CCN 100265
• St Josephs Hospital Hospital, Tampa, FL, CCN 100075
• Morton Plant Hospital Hospital, Clearwater, FL, CCN 100127

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/ADDJAA

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Affinity Care of Hillsborough LLC

  • Community Based Hospice Care Agency
  • Tampa, FL
  • NPI 1730997230

  W-2 Managing Employee

  CMS ownership

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.

• Best Medical LLC

  • Internal Medicine Physician
  • Tampa, FL
  • NPI 1114484813
  Medicare reassignment NPD Authorized official
• Community Hospitalists of Pinella

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1215910260
  Medicare reassignment Care Compare group NPD
• Sunstate Physicians LLC

  • Hospitalist Physician
  • Boca Raton, FL
  • NPI 1750872545

  Internal Medicine

  Medicare reassignment NPD
• Elias Kanaan MD PA

  • Internal Medicine Physician
  • Clearwater, FL
  • NPI 1538177928
  NPD
• Aladesawe Enterprises Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • New Port Richey, FL
  • NPI 1790192185
  NPD (past)
• Optumcare Florida Ci, LLC

  • Primary Care Clinic/Center
  • Winter Park, FL
  • NPI 1720506603
  NPD (past)
• Optumcare Florida LLC

  • General Practice Physician
  • Tampa, FL
  • NPI 1053384214

  Internal Medicine

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Affinity Care of Hillsborough LLC

  • Community Based Hospice Care Agency
  • Tampa, FL
  • NPI 1730997230
  Care Compare affiliation
• Affinity Care of Manatee County LLC

  • Community Based Hospice Care Agency
  • Bradenton, FL
  • NPI 1114630324
  Care Compare affiliation
• Baycare Home Care, Inc.

  • Home Health Agency
  • Dunedin, FL
  • NPI 1972501252
  Care Compare affiliation
• Morton Plant Hospital Association Inc

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1376529743
  Care Compare affiliation
• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1346519816
  Care Compare affiliation
• St. Joseph'S Hospital, Inc.

  • General Acute Care Hospital
  • Tampa, FL
  • NPI 1881632818
  Care Compare affiliation
• Trustees of Mease Hospital Inc

  • General Acute Care Hospital
  • Clearwater, FL
  • NPI 1265419907
  Care Compare affiliation

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

{
    "created_epoch": "1356393600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609718400000",
    "number": "1770829574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4730 N HABANA AVE STE 204",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147148",
            "telephone_number": "786-715-8147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4730 N HABANA AVE STE 204",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336147148",
            "telephone_number": "786-715-8147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES-CRESPO",
        "first_name": "RAIDEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-12-25",
        "last_updated": "2021-01-04",
        "certification_date": "2021-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME119106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "012343800",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Boris Alejandro Valdes Hernandez
• Maria Del Rosario Valdes Jimenez, FNP
• Yonaiki Valdes Lopez
• Dinella Alicia Valdes Martinez
• Dailenys Valdes Mayor, RBT-25-503497
• Amanda Danielle Valdes
• Atala E Valdes
• Belkis Valdes
• Brianna Bielski Valdes
• Carlos Alberto Valdes, MD

• Internal Medicine Physician in Tampa, FL
• Providers in Tampa, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.

Verify at the official NPI Registry.