Individual provider Active NPI

Jason Valadao, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Annapolis, MD
National Provider Identifier
1952711020
Registry record updated Oct 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Family Medicine) PhysicianTaxonomy code 207QS0010X
License
A153557 Issued in CA
Practice address
695 Kinkaid Rd
Annapolis, MD 21402-1006
Phone
(410) 293-1748
NPI assigned
Apr 29, 2014
Last updated
Oct 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2024

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200117002294 RI Order and Referring Only - Family PracticePractitioner - Family PracticePractitioner - Sports Medicine 9830524933

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63573AZMDSports Medicine (Family Medicine) Physician
A153557CAMDSports Medicine (Family Medicine) Physician
DR.0064465COMDSports Medicine (Family Medicine) Physician
MD048783DCMDSports Medicine (Family Medicine) Physician
ME141714FLMDSports Medicine (Family Medicine) Physician
MD84343GAMDSports Medicine (Family Medicine) Physician
036150416ILMDSports Medicine (Family Medicine) Physician
D0098730MDMDSports Medicine (Family Medicine) Physician
2019-02118NCMDSports Medicine (Family Medicine) Physician
20374NVMDSports Medicine (Family Medicine) Physician
300087-01NYMDSports Medicine (Family Medicine) Physician
35.136938OHMDSports Medicine (Family Medicine) Physician
35472OKMDSports Medicine (Family Medicine) Physician
S3766TXMDSports Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

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

Verify at the official NPI Registry.