Active NPI
Jose Cuaresma Valdez
- Physician Assistant
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5601001650
- Practice address
- 2799 W Grand Blvd
Detroit, MI 48202-2608 - Phone
- (313) 916-2695
- Fax
- (313) 916-2687
- NPI assigned
- Mar 8, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9116040 | FL | |
| Physician Assistant | 363A00000X | 5601001650 | MI | Primary |
Addresses
Primary practice location
2799 W Grand Blvd
Detroit, MI 48202-2608
Mailing address
1833 Axtell Dr Apt 3
Troy, MI 48084-4414
Phone (586) 838-7851
Electronic endpoints 6
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jvaldez5939262@direct.beaumont.edu | ||
| Direct Messaging Address | jvaldez1@hfhs.org | ||
| Direct Messaging Address | jvaldez1@hfhs.org | Henry Ford Health System | |
| Direct Messaging Address | jvaldez1@hfhs.org | Henry Ford Health System | |
| Direct Messaging Address | jvaldez1@hfhs.org | ||
| Direct Messaging Address | jvaldez16337@direct.hfhs.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, ND
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445
2799 W Grand Blvd
Detroit, MI 48202-2608
Phone (313) 916-2600
5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Henry Ford Health System | Current | Accepting new patients | |
| Henry Ford Health System | Physician Assistant | Current | Accepting new patients |
| Sanford Medical Center Fargo | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Current | Accepting new patients | |
| Henry Ford Macomb Hospital Corporation | Physician Assistant | Current | Accepting new patients |
| Sanford Medical Center Fargo | Past | Accepting new patients |
Locations
15717 15 Mile Rd
Clinton Twp, MI 48035
Phone (586) 285-3800
2799 W Grand Blvd
Detroit, MI 48202
Phone (313) 876-2062
2799 W Grand Blvd
#K14
Detroit, MI 48202
Phone (313) 916-2695
1 Ford Pl
Ste 2E
Detroit, MI 48202
Phone (313) 874-3953
2799 W Grand Blvd
Ste K14
Detroit, MI 48202
3601 W 13 Mile Rd
#400
Royal Oak, MI 48073
Phone (248) 423-2481
3601 W 13 Mile Rd
Royal Oak, MI 48073
801 Broadway N
Fargo, ND 58102
Phone (701) 234-5121
5225 23rd Ave S
Fargo, ND 58104
Phone (701) 234-5933
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Interoperability endpoints
- jvaldez5939262@direct.beaumont.edu
- jvaldez1259827@epic00.shdirect.org
- jvaldez16337@direct.hfhs.org
Organizations & group practices 10
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.
-
- Physician Assistant
- Detroit, MI
- NPI 1811073901
-
- Family Medicine Physician
- West Fargo, ND
- NPI 1184917924
-
- Surgery Physician
- Royal Oak, MI
- NPI 1578072906
-
- Family Medicine Physician
- Clinton TWP, MI
- NPI 1134265986
-
- Community/Retail Pharmacy
- Plymouth, MI
- NPI 1942931720
-
- General Acute Care Hospital
- Clinton TWP, MI
- NPI 1023114634
-
- Physician Assistant
- Clinton TWP, MI
- NPI 1124421888
-
- Rural Health Clinic/Center
- Lamoure, ND
- NPI 1164439196
-
- General Acute Care Hospital
- Fargo, ND
- NPI 1528009412
-
- Home Health Agency
- Fargo, ND
- NPI 1891861761
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141776000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689897600000",
"number": "1962470807",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1833 AXTELL DR APT 3",
"city": "TROY",
"state": "MI",
"postal_code": "480844414",
"telephone_number": "586-838-7851"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2799 W GRAND BLVD",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022608",
"telephone_number": "313-916-2695",
"fax_number": "313-916-2687"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VALDEZ",
"first_name": "JOSE",
"middle_name": "CUARESMA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-08",
"last_updated": "2023-07-21",
"certification_date": "2023-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9116040",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MI",
"license": "5601001650",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jvaldez5939262@direct.beaumont.edu",
"affiliation": "N",
"address_1": "18101 Oakwood Blvd",
"city": "Dearborn",
"state": "MI",
"country_code": "US",
"postal_code": "481244089",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jvaldez1@hfhs.org",
"affiliation": "N",
"address_1": "2799 W Grand Blvd",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "482022608",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jvaldez1@hfhs.org",
"affiliation": "Y",
"affiliationName": "Henry Ford Health System",
"address_1": "2799 W Grand Blvd",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "482022608",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jvaldez1@hfhs.org",
"affiliation": "Y",
"affiliationName": "Henry Ford Health System",
"address_1": "2799 W Grand Blvd",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "482022608",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jvaldez1@hfhs.org",
"affiliation": "N",
"address_1": "2799 W Grand Blvd",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "482022608",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jvaldez16337@direct.hfhs.org",
"affiliation": "N",
"address_1": "2799 W Grand Blvd",
"city": "Detroit",
"state": "MI",
"country_code": "US",
"postal_code": "482022608",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2023; 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.