Individual provider Active NPI

Luis Valencia, M.D.

  • Pediatrics Physician
  • Rio Grande City, TX
National Provider Identifier
1871501957
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
L2722 Issued in TX
Practice address
131 N FM 3167 Ste D
Rio Grande City, TX 78582-7009
Phone
(956) 317-1126
Fax
(956) 317-1026
NPI assigned
Aug 4, 2006
Last updated
Aug 29, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101276376 VA
Pediatrics Physician 208000000X L2722 TX Primary
Hospitalist Physician 208M00000X L2722 TX

Addresses

Primary practice location

131 N FM 3167 Ste D
Rio Grande City, TX 78582-7009

Mailing address

131 N FM 3167 Ste D
Rio Grande City, TX 78582-7009
Phone (956) 317-1126

Other practice location 1

2542 Central Palm Dr Ste 207
Rio Grande City, TX 78582-6766
Phone (956) 352-1344

Other practice location 2

4845 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-5700

Other practice location 3

4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-5700

Other identifiers 1

IdentifierTypeStateIssuer
145038902MedicaidTX

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
I20040317000526 TX Practitioner - Pediatric MedicinePractitioner - Hospitalist 3779473475 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101276376VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Tech University Health Sciences Center El Paso Pediatrics CurrentSince Mar 10, 2022 Accepting new patients
Luis Valencia MD PA Pediatrics CurrentSince Feb 13, 2022 Accepting new patients
Luis Valencia MD PA CurrentSince Apr 12, 2013 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Mar 10, 2022 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Odessa Texas Hospital Company LLC Past Accepting new patients
Texas Tech University Health Sciences Center Odessa Pediatrics Past Accepting new patients
Odessa Regional Hospital LP Past Accepting new patients

Locations

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

4845 Alameda Ave
El Paso, TX 79905
Phone (915) 215-5700

131 N FM 3167
Ste D
Rio Grande City, TX 78582
Phone (956) 317-1126

2544 Central Palm Dr
Ste 104
Rio Grande Cy, TX 78582
Phone (956) 317-1126

2790 Pharmacy Rd
Rio Grande Cy, TX 78582
Phone (956) 487-5621

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Valley Pediatric ClinicRio Grande City, TX, CCN 673963 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
W-2 Managing Employee (100%)
Operational/Managerial Control (100%)
May 11, 2020
Apr 12, 2013
Apr 12, 2013
May 11, 2020

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1871501957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 N FM 3167 STE D",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785827009",
            "telephone_number": "956-317-1126",
            "fax_number": "956-317-1026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 N FM 3167 STE D",
            "city": "RIO GRANDE CITY",
            "state": "TX",
            "postal_code": "785827009",
            "telephone_number": "956-317-1126",
            "fax_number": "956-317-1026"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2542 Central Palm Dr Ste 207",
            "address_purpose": "LOCATION",
            "city": "Rio Grande City",
            "state": "TX",
            "postal_code": "785826766",
            "country_code": "US",
            "telephone_number": "956-352-1344",
            "fax_number": "956-352-1344",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4845 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052705",
            "country_code": "US",
            "telephone_number": "915-215-5700",
            "fax_number": "915-215-8872",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4815 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052705",
            "country_code": "US",
            "telephone_number": "915-215-5700",
            "fax_number": "915-215-8872",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VALENCIA",
        "first_name": "LUIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-04",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101276376",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "L2722",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "L2722",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "145038902",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rio Grande City, TX

Sources for this page

Verify at the official NPI Registry.