Active NPI
Gregg A Valenzuela, M.D.
- Gastroenterology Physician
- Richmond, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 0101036504
- Practice address
- 7702 E Parham Rd
Suite 101
Richmond, VA 23294-4371 - Phone
- (804) 288-7901
- Fax
- (804) 273-9167
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 0101036504 | VA | Primary |
Addresses
Primary practice location
7702 E Parham Rd
Suite 101
Richmond, VA 23294-4371
Mailing address
PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-6770
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5857449 | Medicaid | VA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- University of Virginia School of Medicine, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
8005 C Creighton Pkwy
Suite 807
Mechanicsville, VA 23111-4593
PO Box
Kansas City, MO 64180
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 125 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 200 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101036504 | VA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Stillwater Medical Center Authority | Current | Accepting new patients | |
| Southwest Medical Associates, LLC | Current | Accepting new patients | |
| Stillwater Medical Center Authority | Gastroenterology | Current | Accepting new patients |
| Riverside Physician Services Inc | Gastroenterology | Past | Accepting new patients |
| Stillwater Medical Center Authority | Past | Accepting new patients |
Locations
715 Martin Luther King Ave NE
Ste 301
Albuquerque, NM 87102
Phone (505) 727-4500
4705 Montgomery Blvd NE
Ste 201
Albuquerque, NM 87109
Phone (505) 727-6550
417 Fairview Ave
Ponca City, OK 74601
Phone (580) 762-3770
1301 W 6th Ave
Ste 108
Stillwater, OK 74074
Phone (405) 533-1695
Interoperability endpoints
- gregg.valenzuela.p1@direct.smc.nextgenshare.com
Organizations & group practices 6
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.
-
- General Practice Physician
- Albuquerque, NM
- NPI 1164491072
-
- Family Medicine Physician
- Stillwater, OK
- NPI 1558377135
Gastroenterology
-
- Rural Health Clinic/Center
- Roswell, NM
- NPI 1578255253
-
- Family Medicine Physician
- Perry, OK
- NPI 1407729361
-
- Gastroenterology Physician
- Williamsburg, VA
- NPI 1083867311
-
- General Acute Care Hospital
- Stillwater, OK
- NPI 1164494027
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Stillwater, OK
- NPI 1164494027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493596800000",
"number": "1942250188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26666",
"address_2": "PHS PROVIDER ENROLLMENT",
"city": "ALBUQUERQUE",
"state": "NM",
"postal_code": "871256666",
"telephone_number": "505-923-6770",
"fax_number": "505-923-5354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7702 E PARHAM RD",
"address_2": "SUITE 101",
"city": "RICHMOND",
"state": "VA",
"postal_code": "232944371",
"telephone_number": "804-288-7901",
"fax_number": "804-273-9167"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALENZUELA",
"first_name": "GREGG",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2017-05-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "VA",
"license": "0101036504",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5857449",
"state": "VA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Richmond, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.