Active NPI
Jason Valadao, M.D.
- Sports Medicine (Family Medicine) Physician
- Annapolis, MD
National Provider Identifier
1952711020
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- A153557
- Practice address
- 695 Kinkaid Rd
Annapolis, MD 21402-1006 - Phone
- (410) 293-1748
- NPI assigned
- Apr 29, 2014
- Last updated
- Oct 23, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | ME141714 | FL | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | MD84343 | GA | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 036150416 | IL | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | D0098730 | MD | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 35472 | OK | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 2019-02118 | NC | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 300087-01 | NY | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | MD16924 | RI | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 20374 | NV | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 35.136938 | OH | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 63573 | AZ | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | DR.0064465 | CO | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | MD048783 | DC | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | S3766 | TX | |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | A153557 | CA | Primary |
Addresses
Primary practice location
695 Kinkaid Rd
Annapolis, MD 21402-1006
Mailing address
601 McCain Blvd
San Diego, CA 92135
Phone (619) 545-9009
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200117002294 | RI | Order and Referring Only - Family Practice | 9830524933 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 63573 | AZ | MD | Sports Medicine (Family Medicine) Physician |
| A153557 | CA | MD | Sports Medicine (Family Medicine) Physician |
| DR.0064465 | CO | MD | Sports Medicine (Family Medicine) Physician |
| MD048783 | DC | MD | Sports Medicine (Family Medicine) Physician |
| ME141714 | FL | MD | Sports Medicine (Family Medicine) Physician |
| MD84343 | GA | MD | Sports Medicine (Family Medicine) Physician |
| 036150416 | IL | MD | Sports Medicine (Family Medicine) Physician |
| D0098730 | MD | MD | Sports Medicine (Family Medicine) Physician |
| 2019-02118 | NC | MD | Sports Medicine (Family Medicine) Physician |
| 20374 | NV | MD | Sports Medicine (Family Medicine) Physician |
| 300087-01 | NY | MD | Sports Medicine (Family Medicine) Physician |
| 35.136938 | OH | MD | Sports Medicine (Family Medicine) Physician |
| 35472 | OK | MD | Sports Medicine (Family Medicine) Physician |
| S3766 | TX | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Viewfi Health National Provider Services LLC | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Sports Medicine (Internal Medicine) Physician
- Atlanta, GA
- NPI 1639822679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729641600000",
"number": "1952711020",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "601 MCCAIN BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92135",
"telephone_number": "619-545-9009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "695 KINKAID RD",
"city": "ANNAPOLIS",
"state": "MD",
"postal_code": "214021006",
"telephone_number": "410-293-1748"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALADAO",
"first_name": "JASON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-29",
"last_updated": "2024-10-23",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "FL",
"license": "ME141714",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "GA",
"license": "MD84343",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "IL",
"license": "036150416",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "MD",
"license": "D0098730",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "OK",
"license": "35472",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NC",
"license": "2019-02118",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NY",
"license": "300087-01",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "RI",
"license": "MD16924",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "NV",
"license": "20374",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "OH",
"license": "35.136938",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "AZ",
"license": "63573",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "CO",
"license": "DR.0064465",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "DC",
"license": "MD048783",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "TX",
"license": "S3766",
"primary": false
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "CA",
"license": "A153557",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Annapolis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2024; 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.