NPIMap

Individual provider Active NPI

Rafael Elliot Valenzuela-Tapia, D.O, M.D

  • Nephrology Physician
  • Delray Beach, FL
National Provider Identifier
1871952515
Registry record updated May 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
OS15718 Issued in FL
Practice address
5210 Linton Blvd Ste 105
Delray Beach, FL 33484-6537
Phone
(561) 496-1160
Fax
(561) 496-2660
NPI assigned
Feb 22, 2016
Last updated
May 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Nephrology Physician 207RN0300X OS15718 FL Primary
General Practice Physician 208D00000X OS15718 FL

Addresses

Primary practice location

5210 Linton Blvd Ste 105
Delray Beach, FL 33484-6537

Mailing address

6349 Las Flores Dr
Boca Raton, FL 33433-2362
Phone (516) 439-0316

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160503001165 FL Practitioner - Internal Medicine 8426357088 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
New York College of Osteo Medicine of New York Institute of Technology, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Florida Kidney Physicians LLCGroup PAC ID 4385925650, 167 clinicians
Kidney and Hypertension Specialists PAGroup PAC ID 6103893722, 4 clinicians

Practice addresses (Care Compare)

16501 NW 2ND Ave
Miami, FL 33169-6005
Phone (305) 354-4558

5210 Linton Blvd
Suite 105
Delray Beach, FL 33484-6537
Phone (561) 496-1160

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as group
Quality
70.52
Promoting interoperability
100
Improvement activities
40
Cost
73.91

Merit-based Incentive Payment System (MIPS)

Final score
98.87 of 100Reported as individual
Quality
87.73
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS15718FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Kidney Physicians , LLC Nephrology CurrentSince Mar 18, 2024 Accepting new patients
Kidney & Hypertension Specialists PA Nephrology CurrentSince Jul 12, 2021 Accepting new patients
Florida Kidney Physicians, LLC Nephrology CurrentSince Mar 18, 2024 Accepting new patients

Locations

1500 Gateway Blvd
Ste 194
Boynton Beach, FL 33426
Phone (561) 496-1160

5210 Linton Blvd
Ste 105
Delray Beach, FL 33484
Phone (561) 496-1160

1150 N 35th Ave
Ste 620
Hollywood, FL 33021
Phone (954) 612-8173

19056 NE 29th Ave
Miami, FL 33180
Phone (305) 354-4558

16501 NW 2nd Ave
North Miami Beach, FL 33169
Phone (305) 354-4558

12662 Telecom Dr
Temple Terrace, FL 33637
Phone (813) 910-8708

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/15644/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir4.healow.com/fhir/r4/HECEAA
  • Direct secure messaging: rafael.valenzuela-tapia.1@15644.direct.athenahealth.com

Organizations & group practices 3

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 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1456099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622332800000",
    "number": "1871952515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6349 LAS FLORES DR",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334332362",
            "telephone_number": "516-439-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5210 LINTON BLVD STE 105",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334846537",
            "telephone_number": "561-496-1160",
            "fax_number": "561-496-2660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENZUELA-TAPIA",
        "first_name": "RAFAEL",
        "middle_name": "ELLIOT",
        "credential": "D.O, M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-22",
        "last_updated": "2021-05-30",
        "certification_date": "2021-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "FL",
            "license": "OS15718",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "OS15718",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Delray Beach, FL

Sources for this page

Verify at the official NPI Registry.