Individual provider Active NPI

Pavel Valdes, MD

  • Internal Medicine Physician
  • San Antonio, TX
National Provider Identifier
1851553473
Registry record updated Apr 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P0884 Issued in TX
Practice address
100 S Zarzamora St
San Antonio, TX 78207-3743
Phone
(726) 240-6948
NPI assigned
Jun 25, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2025

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 P0884 TX Primary

Addresses

Primary practice location

100 S Zarzamora St
San Antonio, TX 78207-3743

Mailing address

6101 Blue Lagoon Dr Ste 200
Miami, FL 33126-3168
Phone (615) 705-1725

Other practice location 1

4359 Greco Dr
San Antonio, TX 78222-2726
Phone (210) 648-8200

Other practice location 2

7959 Fredericksburg Rd
San Antonio, TX 78229-3430
Phone (726) 268-7439

Other practice location 3

260 US Highway 181 N
Floresville, TX 78114-3136
Phone (830) 393-8222

Other practice location 4

1860 S Seguin Ave Bldg E
New Braunfels, TX 78130-3914
Phone (830) 626-7770

Other practice location 5

4455 Thousand Oaks Dr
San Antonio, TX 78233-6801
Phone (726) 268-7360

Other practice location 6

1911 Rogers Rd
San Antonio, TX 78251-4614
Phone (210) 523-9933

Other practice location 7

12602 Toepperwein Rd Ste 100
Live Oak, TX 78233-3204
Phone (210) 654-0030

Other practice location 8

18414 US Highway 281 N Ste 104
San Antonio, TX 78259-7611
Phone (210) 495-0222

Other practice location 9

9727 Poteet Jourdanton Fwy Ste 108
San Antonio, TX 78211-4575
Phone (210) 923-4372

Other practice location 10

9727 Poteet Jourdanton Fwy Ste 108
San Antonio, TX 78211-4575
Phone (210) 923-4372

Other practice location 11

7142 San Pedro Ave
San Antonio, TX 78216-6254
Phone (726) 204-4745

Other practice location 12

7142 San Pedro Ave
San Antonio, TX 78216-6254
Phone (726) 268-7468

Other practice location 13

1314 Guadalupe St Ste 105
San Antonio, TX 78207-5582
Phone (210) 225-4810

Other identifiers 1

IdentifierTypeStateIssuer
P0884OtherTXTEXAS MEDICAL BOARD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20120404000496 TX Practitioner - Internal Medicine 9335309079 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Medical Center Management of Texas, P.a.Group PAC ID 8729302278, 146 clinicians
Powell and Fuselier Medical PLLCGroup PAC ID 0042447336, 11 clinicians

Practice addresses (Care Compare)

100 S Zarzamora St
Conviva Care Center
San Antonio, TX 78207-3743
Phone (210) 761-3395

1725 S Interstate 35 E
Suite 101
Denton, TX 76205-6614
Phone (940) 808-0949

260 US Hwy 181 N
Floresville, TX 78114-3136
Phone (830) 393-8222

4455 Thousand Oaks Dr
San Antonio, TX 78233-6801
Phone (726) 268-7360

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management of Texas, P.a. Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients
Internal Medicine Telehealth Solutions, PLLC Internal Medicine Current Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Apr 10, 2016 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Apr 10, 2016 Accepting new patients
Centerwell Senior Primary Care (SC) PC Internal Medicine CurrentSince Jan 1, 2021 Accepting new patients

Locations

6101 Waterford District Dr
Ste 200
Miami, FL 33126
Phone (407) 533-6836

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

260 US Highway 181 N
Floresville, TX 78114
Phone (830) 393-8222

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

12602 Toepperwein Rd
Ste 100
Live Oak, TX 78233
Phone (210) 620-9669

1860 S Seguin Ave
Bldg E
New Braunfels, TX 78130
Phone (830) 626-7770

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

18414 US Highway 281 N
Ste 104
San Antonio, TX 78259
Phone (210) 354-0800

4359 Greco Dr
San Antonio, TX 78222
Phone (210) 648-8200

4522 Fredericksburg Rd
Ste A14
San Antonio, TX 78201
Phone (210) 733-3005

1911 Rogers Rd
San Antonio, TX 78251
Phone (210) 523-9933

4455 Thousand Oaks Dr
San Antonio, TX 78233
Phone (726) 268-7360

100 S Zarzamora St
San Antonio, TX 78207
Phone (210) 761-3393

7959 Fredericksburg Rd
San Antonio, TX 78229
Phone (210) 396-7410

7142 San Pedro Ave
San Antonio, TX 78216
Phone (726) 204-4745

9727 Poteet Jourdanton Fwy
Ste 108
San Antonio, TX 78211
Phone (210) 733-5072

Interoperability endpoints

  • Direct secure messaging: pavel.valdes.1@29601.direct.athenahealth.com

Organizations & group practices 6

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": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743465600000",
    "number": "1851553473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6101 BLUE LAGOON DR STE 200",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331263168",
            "telephone_number": "615-705-1725",
            "fax_number": "786-472-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 S ZARZAMORA ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782073743",
            "telephone_number": "726-240-6948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4359 Greco Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782222726",
            "country_code": "US",
            "telephone_number": "210-648-8200",
            "fax_number": "888-281-2809",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7959 Fredericksburg Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782293430",
            "country_code": "US",
            "telephone_number": "726-268-7439",
            "fax_number": "866-554-1895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "260 US Highway 181 N",
            "address_purpose": "LOCATION",
            "city": "Floresville",
            "state": "TX",
            "postal_code": "781143136",
            "country_code": "US",
            "telephone_number": "830-393-8222",
            "fax_number": "844-212-0399",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1860 S Seguin Ave Bldg E",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781303914",
            "country_code": "US",
            "telephone_number": "830-626-7770",
            "fax_number": "855-347-6311",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4455 Thousand Oaks Dr",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782336801",
            "country_code": "US",
            "telephone_number": "726-268-7360",
            "fax_number": "877-370-4369",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1911 Rogers Rd",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782514614",
            "country_code": "US",
            "telephone_number": "210-523-9933",
            "fax_number": "210-647-0242",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12602 Toepperwein Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Live Oak",
            "state": "TX",
            "postal_code": "782333204",
            "country_code": "US",
            "telephone_number": "210-654-0030",
            "fax_number": "855-278-4550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "18414 US Highway 281 N Ste 104",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782597611",
            "country_code": "US",
            "telephone_number": "210-495-0222",
            "fax_number": "210-495-5914",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9727 Poteet Jourdanton Fwy Ste 108",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782114575",
            "country_code": "US",
            "telephone_number": "210-923-4372",
            "fax_number": "210-923-5581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9727 Poteet Jourdanton Fwy Ste 108",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782114575",
            "country_code": "US",
            "telephone_number": "210-923-4372",
            "fax_number": "210-923-5581",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7142 San Pedro Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782166254",
            "country_code": "US",
            "telephone_number": "726-204-4745",
            "fax_number": "855-618-2367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7142 San Pedro Ave",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782166254",
            "country_code": "US",
            "telephone_number": "726-268-7468",
            "fax_number": "855-618-2367",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1314 Guadalupe St Ste 105",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "782075582",
            "country_code": "US",
            "telephone_number": "210-225-4810",
            "fax_number": "210-686-3831",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALDES",
        "first_name": "PAVEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-25",
        "last_updated": "2025-04-01",
        "certification_date": "2025-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P0884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD",
            "identifier": "P0884",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.