Active NPI
Luis Valencia, M.D.
- Pediatrics Physician
- Rio Grande City, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- L2722
- 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, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 145038902 | Medicaid | TX |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101276376 | VA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Texas Tech University Health Sciences Center El Paso | Pediatrics | Current | Accepting new patients |
| Luis Valencia MD PA | Pediatrics | Current | Accepting new patients |
| Luis Valencia MD PA | Current | Accepting new patients | |
| Texas Tech University Health Sciences Center El Paso | Current | 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.
| Facility | Type | Role | Since |
|---|---|---|---|
| Valley Pediatric Clinic | 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.
-
dba Valley Pediatric Clinic
- Rural Health Clinic/Center
- Rio Grande City, TX
- NPI 1376168708
5% Or Greater Direct Ownership Interest, Corporate Officer, Operational/Managerial Control, W-2 Managing Employee
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.
-
- Internal Medicine Physician
- El Paso, TX
- NPI 1598705055
-
dba Valley Pediatric Clinic
- Pediatrics Physician
- Rio Grande City, TX
- NPI 1316370430
-
dba Valley Pediatric Clinic
- Rural Health Clinic/Center
- Rio Grande City, TX
- NPI 1376168708
-
dba Plastic Reconstructive Surgical Services of South Texas
- Plastic Surgery Physician
- Corpus Christi, TX
- NPI 1568658227
-
- Pediatrics Physician
- El Paso, TX
- NPI 1003824038
-
- Neurological Surgery Physician
- El Paso, TX
- NPI 1457913444
-
- General Acute Care Hospital
- Odessa, TX
- NPI 1801852736
-
dba Odessa Regional Medical Center
- General Acute Care Hospital
- Odessa, TX
- NPI 1306673009
-
- Family Medicine Physician
- Odessa, TX
- NPI 1407845084
Pediatrics
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.