Active NPI
Luciano Nimedez Valdez, M.D
- Pediatrics Physician
- Chicago, IL
National Provider Identifier
1952310229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 36047130
- Practice address
- 6441 S Pulaski Rd
Suite 300
Chicago, IL 60629-5148 - Phone
- (773) 585-0808
- Fax
- (773) 582-8171
- NPI assigned
- Aug 5, 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 36047130 | IL | Primary |
Addresses
Primary practice location
6441 S Pulaski Rd
Suite 300
Chicago, IL 60629-5148
Mailing address
6441 S Pulaski Rd
Suite 300
Chicago, IL 60629-5148
Phone (773) 585-0808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36047130 | IL | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1952310229",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6441 S PULASKI RD",
"address_2": "SUITE 300",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606295148",
"telephone_number": "773-585-0808",
"fax_number": "773-582-8171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6441 S PULASKI RD",
"address_2": "SUITE 300",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606295148",
"telephone_number": "773-585-0808",
"fax_number": "773-582-8171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ",
"first_name": "LUCIANO",
"middle_name": "NIMEDEZ",
"name_prefix": "Dr.",
"credential": "M.D",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-05",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "36047130",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.