Individual provider Active NPI

Gerson D Valdez Figueroa, MD

  • Interventional Cardiology Physician
  • Tampa, FL
National Provider Identifier
1861689960
Registry record updated Oct 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD60088143 Issued in WA
Practice address
3714 W Jetton Ave
Tampa, FL 33629-5112
Phone
(954) 844-5074
NPI assigned
Oct 2, 2007
Last updated
Oct 2, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD60088143 WA
Cardiovascular Disease Physician 207RC0000X MD60088143 WA
Interventional Cardiology Physician 207RI0011X MD60088143 WA Primary

Addresses

Primary practice location

3714 W Jetton Ave
Tampa, FL 33629-5112

Mailing address

3714 W Jetton Ave
Tampa, FL 33629-5112
Phone (954) 844-5074

Other identifiers 2

IdentifierTypeStateIssuer
500695985MedicaidOR
2049371MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20140920000262 FL Practitioner - Cardiovascular Disease (Cardiology) 7517186786 Reassigns benefits to 1 organization
I20240628003252 NV Practitioner - Interventional Cardiology 7517186786 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1995 Errecart Blvd
Suite 204
Elko, NV 89801-8336
Phone (775) 748-0704

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting22
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Northeastern Nevada Physician Practices LLC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
Northeastern Nevada Physician Practices LLC Internal Medicine CurrentSince Jul 1, 2024 Accepting new patients
South Shore Cardiovascular Associates Inc Cardiovascular Disease CurrentSince Aug 1, 2014 Accepting new patients
Consolidated Health Systems Inc PastSince Sep 17, 2015 Accepting new patients

Locations

1159 Nikki View Dr
Brandon, FL 33511
Phone (813) 661-6199

425 S Kings Ave
Brandon, FL 33511
Phone (813) 661-6199

1995 Errecart Blvd
Ste 102
Elko, NV 89801
Phone (775) 738-3111

1995 Errecart Blvd
Ste 204
Elko, NV 89801
Phone (775) 738-0520

2001 Errecart Blvd
Elko, NV 89801
Phone (775) 738-5151

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

Interoperability endpoints

  • Direct secure messaging: gerson.valdez.figueroa.1@20237.direct.athenahealth.com
  • Direct secure messaging: gerson.valdezfigueroa@hca5.eclinicaldirectplus.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601596800000",
    "number": "1861689960",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3714 W JETTON AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295112",
            "telephone_number": "954-844-5074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 W JETTON AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336295112",
            "telephone_number": "954-844-5074"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDEZ FIGUEROA",
        "first_name": "GERSON",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-02",
        "last_updated": "2020-10-02",
        "certification_date": "2020-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "MD60088143",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "WA",
            "license": "MD60088143",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "WA",
            "license": "MD60088143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "500695985",
            "state": "OR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2049371",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.