Individual provider Active NPI

Valentine Nduku, DO

  • Neurological Surgery Physician
  • Fort Pierce, FL
National Provider Identifier
1871770263
Registry record updated Sep 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
OS13676 Issued in FL
Practice address
2402 Frist Blvd Ste 201
Fort Pierce, FL 34950-4838
Phone
(772) 252-6620
Fax
(772) 460-8808
NPI assigned
Jan 28, 2008
Last updated
Sep 17, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 510107460 MI
Neurological Surgery Physician 207T00000X OS13676 FL Primary

Addresses

Primary practice location

2402 Frist Blvd Ste 201
Fort Pierce, FL 34950-4838

Mailing address

2402 Frist Blvd Ste 201
Fort Pierce, FL 34950-4838
Phone (772) 252-6620

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TX, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160114001771 FL Practitioner - Neurosurgery 2163572967 Reassigns benefits to 3 organizations
I20160705001552 TX Practitioner - Neurosurgery 2163572967 Reassigns benefits to 1 organization
I20160906000204 VA Practitioner - Neurosurgery 2163572967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broward Neurosurgeons LLCGroup PAC ID 8123096690, 21 clinicians

Practice addresses (Care Compare)

2402 Frist Blvd
Suite 201
Fort Pierce, FL 34950-4838
Phone (772) 252-6620

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion216
Laminectomy or laminotomy (partial removal of spine bones)45

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2604TNMDChiropractor
OS13676FLMDNeurological Surgery Physician
510107460MIMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. Current Accepting new patients
University of Florida Jacksonville Physicians Inc Neurological Surgery CurrentSince Jan 4, 2016 Accepting new patients
Broward Neurosurgeons LLC Neurological Surgery CurrentSince Jul 1, 2018 Accepting new patients
Lawnwood Healthcare Specialists LLC Neurological Surgery CurrentSince Jul 1, 2018 Accepting new patients
Tenet Florida Physician Services LLC Neurological Surgery CurrentSince Aug 20, 2019 Accepting new patients
Tenet Florida Physician Services, LLC CurrentSince Aug 20, 2019 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Jan 4, 2016 Accepting new patients
Lewis Gale Physicians LLC CurrentSince Jul 11, 2016 Accepting new patients
Lake Okeechobee Digestive Disease Center PA Past Accepting new patients
Wabash Valley Urological Assoc Inc Past Accepting new patients

Locations

2402 Frist Blvd
Ste 201
Fort Pierce, FL 34950
Phone (772) 252-6620

580 W 8th St
Jacksonville, FL 32209
Phone (904) 244-3960

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

225 NE 19th Dr
Okeechobee, FL 34972
Phone (772) 460-8838

1411 N Flagler Dr
Ste 8000
West Palm Beach, FL 33401
Phone (561) 650-6231

901 Village Blvd
Ste 702
West Palm Beach, FL 33409
Phone (561) 882-6214

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

1802 Braeburn Dr
Salem, VA 24153
Phone (540) 772-3400

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: valentine.nduku@hca4.eclinicaldirectplus.com

Organizations & group practices 11

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 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": "1201478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1871770263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2402 FRIST BLVD STE 201",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504838",
            "telephone_number": "772-252-6620",
            "fax_number": "772-460-8808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2402 FRIST BLVD STE 201",
            "city": "FORT PIERCE",
            "state": "FL",
            "postal_code": "349504838",
            "telephone_number": "772-252-6620",
            "fax_number": "772-460-8808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NDUKU",
        "first_name": "VALENTINE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-28",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "MI",
            "license": "510107460",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "FL",
            "license": "OS13676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Pierce, FL

Sources for this page

Verify at the official NPI Registry.