NPIMap

Individual provider Active NPI

Kevin Valdes, PA-C

  • Physician Assistant
  • Hamburg, PA
National Provider Identifier
1881428928
Registry record updated Aug 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
OA006979 Issued in PA
Practice address
9 Daves Way
Hamburg, PA 19526-1413
Phone
(610) 628-7201
NPI assigned
Aug 30, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA065870 PA
Physician Assistant 363A00000X OA006979 PA Primary

Addresses

Primary practice location

9 Daves Way
Hamburg, PA 19526-1413

Mailing address

9 Daves Way
Hamburg, PA 19526-1413
Phone (610) 628-7201

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20250129001083 PA Practitioner - Physician Assistant 7416486915 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Luke'S HospitalGroup PAC ID 0648189688, 100 clinicians

Practice addresses (Care Compare)

1104 N St
St Luke'S Care Now
Jim Thorpe, PA 18229-1717
Phone (570) 325-2400

120 Pine St
Tamaqua, PA 18252-1409
Phone (570) 645-1500

2701 Shillington Rd
Suite 100
Reading, PA 19608-1732
Phone (484) 822-6170

360 W Riddle St
Coaldale, PA 18218-1027
Phone (570) 645-8127

614 Delaware Ave
St. Luke'S Care Now Palmerton
Palmerton, PA 18071-2003
Phone (484) 822-5320

9 Dave'S Way
Hamburg, PA 19526-1463
Phone (610) 628-7201

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA065870PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Nov 25, 2024 Accepting new patients
St Luke'S Hospital CurrentSince Nov 25, 2024 Accepting new patients
St Luke'S Hospital CurrentSince Nov 25, 2024 Accepting new patients
The Carbon Schuylkill Community Hospital, Inc. CurrentSince Nov 25, 2024 Accepting new patients
St. Luke'S Hospital - Anderson Campus CurrentSince Nov 25, 2024 Accepting new patients
St. Luke'S Hospital Monroe Campus CurrentSince Nov 25, 2024 Accepting new patients
St. Luke'S Hosptial CurrentSince Nov 25, 2024 Accepting new patients
GSL Hospital CurrentSince Nov 25, 2024 Accepting new patients
St. Luke'S Hospital Monroe Campus CurrentSince Nov 25, 2024 Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince Nov 25, 2024 Accepting new patients
St. Luke'S Quakertown Hospital CurrentSince Nov 25, 2024 Accepting new patients

Locations

111 Route 715
Brodheadsvlle, PA 18322
Phone (272) 212-0420

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

9 Daves Way
Hamburg, PA 19526
Phone (610) 628-7201

1104 North St
Jim Thorpe, PA 18229
Phone (570) 325-2400

2650 Woodglen Rd
Pottsville, PA 17901
Phone (272) 639-5755

487 E Moorestown Rd
Wind Gap, PA 18091
Phone (484) 526-7850

Interoperability endpoints

  • Direct secure messaging: kvaldes305780@direct-sluhn.org

Organizations & group practices 14

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 14

Hospital & facility affiliations 6

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": "1724976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724976000000",
    "number": "1881428928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 DAVES WAY",
            "city": "HAMBURG",
            "state": "PA",
            "postal_code": "195261413",
            "telephone_number": "610-628-7201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 DAVES WAY",
            "city": "HAMBURG",
            "state": "PA",
            "postal_code": "195261413",
            "telephone_number": "610-628-7201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALDES",
        "first_name": "KEVIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-30",
        "last_updated": "2024-08-30",
        "certification_date": "2024-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA065870",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA006979",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamburg, PA

Sources for this page

Verify at the official NPI Registry.