Individual provider Active NPI

Emiliano Valles, M.D.

  • Psychosomatic Medicine Physician
  • Albuquerque, NM
National Provider Identifier
1932429453
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychosomatic Medicine PhysicianTaxonomy code 2084P0015X
License
MD2015-0303 Issued in NM
Practice address
MSC 11 6093
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone
(505) 272-6225
Fax
(505) 272-5184
NPI assigned
Jun 7, 2010
Last updated
Apr 10, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Psychosomatic Medicine Physician 2084P0015X MD2015-0303 NM Primary

Addresses

Primary practice location

MSC 11 6093
1 University of New Mexico
Albuquerque, NM 87131-0001

Mailing address

MSC 11 6093
1 University of New Mexico
Albuquerque, NM 87131-0001
Phone (505) 272-6225

Other identifiers 1

IdentifierTypeStateIssuer
1932429453MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, OR2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150912000006 NM Practitioner - Psychiatry 9335456029 Reassigns benefits to 4 organizations
I20240618003796 OR Practitioner - Psychiatry 9335456029 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Washington University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Peacehealth Medical GroupGroup PAC ID 9032023270, 256 clinicians

Practice addresses (Care Compare)

Albuquerque, NM 87114
Phone (541) 222-2185

3333 Riverbend Dr
Springfield, OR 97477-8800
Phone (541) 222-6000

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
75.49
Promoting interoperability
100
Improvement activities
40
Cost
76.92

Merit-based Incentive Payment System (MIPS)

Final score
94.95 of 100Reported as group
Quality
92.04
Promoting interoperability
100
Improvement activities
40
Cost
85.99

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2015-0303NMMDPsychosomatic Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unm Medical Group, Inc. CurrentSince Jul 17, 2015 Accepting new patients
Peacehealth Medical Group Family Medicine CurrentSince Jul 3, 2024 Accepting new patients
Peacehealth Medical Group Cottage Grove Current Accepting new patients
Unm Medical Group Inc CurrentSince Jul 17, 2015 Accepting new patients
Peacehealth Medical Group CurrentSince Jul 3, 2024 Accepting new patients
Peacehealth CurrentSince Jul 3, 2024 Accepting new patients
Peacehealth CurrentSince Jul 3, 2024 Accepting new patients

Locations

933 Bradbury Dr SE
Ste 2222
Albuquerque, NM 87106
Phone (505) 272-1476

2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111

1515 Village Dr
Cottage Grove, OR 97424
Phone (541) 767-5200

4010 Aerial Way
Eugene, OR 97402
Phone (541) 242-8300

400 9th St
Florence, OR 97439
Phone (541) 997-8412

3333 Riverbend Dr
Springfield, OR 97477
Phone (541) 222-3154

1115 SE 164th Ave
Dept 358
Vancouver, WA 98683
Phone (360) 729-1253

Interoperability endpoints

  • Direct secure messaging: evalles657971@direct.peacehealth.org

Organizations & group practices 7

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": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712707200000",
    "number": "1932429453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MSC 11 6093",
            "address_2": "1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-6225",
            "fax_number": "505-272-5184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MSC 11 6093",
            "address_2": "1 UNIVERSITY OF NEW MEXICO",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871310001",
            "telephone_number": "505-272-6225",
            "fax_number": "505-272-5184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLES",
        "first_name": "EMILIANO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-07",
        "last_updated": "2024-04-10",
        "certification_date": "2024-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0015X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychosomatic Medicine",
            "state": "NM",
            "license": "MD2015-0303",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1932429453",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albuquerque, NM

Sources for this page

Verify at the official NPI Registry.