NPIMap

Individual provider Active NPI

Zidrieck Parducho Valdes, M.D.

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1851339360
Registry record updated May 25, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
8355 Issued in NV
Practice address
1019 S Decatur Blvd
Las Vegas, NV 89107-3920
Phone
(702) 877-8808
Fax
(702) 877-8889
NPI assigned
Jun 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 25, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 8355 NV Primary

Addresses

Primary practice location

1019 S Decatur Blvd
Las Vegas, NV 89107-3920

Mailing address

PO Box 26145
Las Vegas, NV 89126-0145
Phone (702) 877-8808

Other identifiers 1

IdentifierTypeStateIssuer
002019946MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050823001003 NV Practitioner - Internal Medicine 9436180023 Practice locations: Las Vegas, NV

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1019 S Decatur
Las Vegas, NV 89107-3920
Phone (702) 877-8808

Hospital & facility affiliations

  • First Care Home Health Inc Home health agency, Las Vegas, NV, CCN 297178
  • Life Care Center of Las Vegas Nursing home, Las Vegas, NV, CCN 295052
  • Torrey Pines Post Acute and Rehabilitation Nursing home, Las Vegas, NV, CCN 295045
  • Las Vegas Post Acute & Rehabilitation Nursing home, Las Vegas, NV, CCN 295006
  • Royal Springs Healthcare and Rehab Nursing home, Las Vegas, NV, CCN 295073

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8355NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sunrise Hospital and Medical Center, LLC Past Accepting new patients
Torrey Pines Rehabilitation Hospital LLC Past Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Las Vegas Post Acute & Rehabilitation LLC Past Accepting new patients
Desert Springs Hospital Past Accepting new patients
University Medical Center of Southern Nevada Past Accepting new patients
Las Vegas Operations, LLC Past Accepting new patients
Spring Valley Medical Center Past Accepting new patients

Organizations & group practices 8

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.

Hospital & facility affiliations 5

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": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1851339360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26145",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891260145",
            "telephone_number": "702-877-8808",
            "fax_number": "702-877-8889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 S DECATUR BLVD",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891073920",
            "telephone_number": "702-877-8808",
            "fax_number": "702-877-8889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES",
        "first_name": "ZIDRIECK",
        "middle_name": "PARDUCHO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-04",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "8355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002019946",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.