Individual provider Active NPI

Luis G Valle, M.D.

  • Family Medicine Physician
  • Lansing, MI
National Provider Identifier
1790949667
Registry record updated Oct 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
4301064984 Issued in MI
Practice address
1100 W Saginaw St Ste 5
Lansing, MI 48915-2033
Phone
(517) 887-5922
Fax
(517) 887-5982
NPI assigned
Jul 10, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193400000X SINGLE SPECIALTY GROUP 173000000X 4301064984 MI
Family Medicine Physician 207Q00000X 4301064984 MI Primary

Addresses

Primary practice location

1100 W Saginaw St Ste 5
Lansing, MI 48915-2033

Mailing address

1100 W Saginaw St Ste 5
Lansing, MI 48915-2033
Phone (517) 887-5922

Other identifiers 1

IdentifierTypeStateIssuer
1518983907MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20050728000225 MI Practitioner - Family Practice 1355379728 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
4301064984MIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities of Ingham, Eaton and Clinton Counties Single Specialty CurrentSince Aug 15, 2011 Accepting new patients
Care Free Medical, Inc Legal Medicine CurrentSince Jul 1, 2023 Accepting new patients
Care Free Medical, Inc Family Medicine CurrentSince Oct 27, 2024 Accepting new patients
Cristo Rey Community Center Past Accepting new patients

Locations

1100 W Saginaw St
Ste 5
Lansing, MI 48915
Phone (517) 887-5922

1115 S Pennsylvania Ave
Ste 101
Lansing, MI 48912
Phone (517) 346-4700

1717 N High St
Lansing, MI 48906
Phone (517) 371-1700

Organizations & group practices 4

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": "1215648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697068800000",
    "number": "1790949667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 W SAGINAW ST STE 5",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489152033",
            "telephone_number": "517-887-5922",
            "fax_number": "517-887-5982"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 W SAGINAW ST STE 5",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489152033",
            "telephone_number": "517-887-5922",
            "fax_number": "517-887-5982"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLE",
        "first_name": "LUIS",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-10",
        "last_updated": "2023-10-12",
        "certification_date": "2022-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Legal Medicine",
            "state": "MI",
            "license": "4301064984",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301064984",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518983907",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.