Ricardo Luis Valdivia, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2006-00229 Issued in NC

Practice address

324 N Queen St
Kinston, NC 28501-4932

Phone

(252) 522-9800

Fax

(252) 523-9790

NPI assigned

Apr 26, 2006

Last updated

Apr 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 NC

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

Family Practice

Education

Other, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kinston Community Health Center IncGroup PAC ID 1254318397, 16 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unc Lenoir Health Care Hospital, Kinston, NC, CCN 340027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: ricardomd.valdivia.p1@direct.kinstonchc.nextgenshare.com
• Direct secure messaging: rvaldivia1252702@direct.novanthealth.org

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.

• Kinston Community Health Center, Inc

  • Federally Qualified Health Center (FQHC)
  • Kinston, NC
  • NPI 1104859313
  Medicare reassignment Care Compare group
• San Martin Medical , PLLC

  • Family Medicine Physician
  • Rocky Point, NC
  • NPI 1992093546
  Medicare reassignment Authorized official

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

• Lenoir Memorial Hospital, Incorporated

  dba Ekg Eeg

  • Cardiology Technician
  • Kinston, NC
  • NPI 1013957414

  Hospital

  Care Compare affiliation
• Lenoir Memorial Hospital, Incorporated

  dba UNC Lenoir Health Care

  • General Acute Care Hospital
  • Kinston, NC
  • NPI 1962446385
  Care Compare affiliation

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712188800000",
    "number": "1841257797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "324 N QUEEN ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285014932",
            "telephone_number": "252-522-9800",
            "fax_number": "252-523-9790"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "324 N QUEEN ST",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285014932",
            "telephone_number": "252-522-9800",
            "fax_number": "252-523-9790"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13732 HIGHWAY 210",
            "address_2": "SUITE 400",
            "address_purpose": "LOCATION",
            "city": "ROCKY POINT",
            "state": "NC",
            "postal_code": "284577340",
            "country_code": "US",
            "telephone_number": "910-675-9200",
            "fax_number": "910-675-0008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDIVIA",
        "first_name": "RICARDO",
        "middle_name": "LUIS",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2024-04-04",
        "certification_date": "2024-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2006-00229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5904242",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• University of North Carolina Hospitals at Chapel Hill (UNC Health Complete Care)
• University of North Carolina Hospitals at Chapel Hill (UNC Health Complete Care)
• University of North Carolina Hospitals at Chapel Hill (UNC Health Complete Care)
• Urgent Cares of America North Carolina Inc (FastMed Urgent Care of Kinston)
• Regi Jose Vadassery, M.D.
• Ricardo L Valle Diaz, M.D.
• Kimberly Kay Vansant, PA-C
• Ana Vazquez, DMD
• Efcel Aaron Velez, LCMHC
• Swathi Veliginti, MBBS

• Family Medicine Physician in Kinston, NC
• Providers in Kinston, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2024; 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.

Verify at the official NPI Registry.