DR. PAUL GASTON DEL VALLE M.D. NPI 1003027202

Anesthesiology in Newark, OH

NPI 1003027202 Individual Male Years of Experience 17 Anesthesiology PECOS Enrolled Accepts Medicare Approved Payment

About PAUL DEL VALLE

Paul Del Valle is a provider established in Newark, Ohio and his medical specialization is anesthesiology with more than 17 years of experience. The NPI number of Paul Del Valle is 1003027202 and was assigned on May 2007. The practitioner's primary taxonomy code is 207L00000X with license number MD41045 (SC). The provider is registered as an individual and his NPI record was last updated 3 years ago.

An anesthesiologist like Dr. Paul Gaston Del Valle M.d. manages the care of surgical patients and pain relief through drug administration that reduces or eliminates pain during an operation, medical procedure or during labor and delivery of babies. During surgical procedures anesthesiologists are responsible for adjusting the amount of anesthetic, monitoring the patient's heart rate, body temperature, blood pressure and breathing.

Paul Del Valle is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Paul Del Valle is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Trident Medical Center.

NPI

1003027202

Provider NameDR. PAUL GASTON DEL VALLE M.D.
Provider Location Address1320 W MAIN ST NEWARK, OH 43055
Provider Mailing Address860 E BROAD ST STE I ELYRIA, OH 44035
GenderMale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year2005
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date05-28-2007
Last Update Date03-04-2019


Primary Taxonomy

Taxonomy Code207L00000X
ClassificationAnesthesiology
TypeAllopathic & Osteopathic Physicians
License No.MD41045
License StateSC
Taxonomy DescriptionAn anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

Business Address

DR. PAUL GASTON DEL VALLE M.D.
1320 W MAIN ST
NEWARK, OH
ZIP 43055
Phone: (740) 348-4318
Fax: (740) 348-4217

Get Directions


Mailing Address

DR. PAUL GASTON DEL VALLE M.D.
860 E BROAD ST
STE I
ELYRIA, OH
ZIP 44035
Phone: (740) 348-4318
Fax: (740) 348-4217



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID941354179
PECOS Enrollment IDI20170919003525
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Paul Del Valle is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
TRIDENT MEDICAL CENTER9330 MEDICAL PLAZA DR
CHARLESTON, SC 29406
(843) 847-4100Acute Care Hospitals420079

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology35.089044OHNo

Taxonomy Description: an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

2207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology82167GANo

Taxonomy Description: an anesthesiologist is trained to provide pain relief and maintenance, or restoration, of a stable condition during and immediately following an operation or an obstetric or diagnostic procedure. The anesthesiologist assesses the risk of the patient undergoing surgery and optimizes the patient's condition prior to, during and after surgery. In addition to these management responsibilities, the anesthesiologist provides medical management and consultation in pain management and critical care medicine. Anesthesiologists diagnose and treat acute, long-standing and cancer pain problems; diagnose and treat patients with critical illnesses or severe injuries; direct resuscitation in the care of patients with cardiac or respiratory emergencies, including the need for artificial ventilation; and supervise post-anesthesia recovery.

32083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine41045SCNo

Taxonomy Description: public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

42083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine35.089044OHNo

Taxonomy Description: public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

52083P0901XAllopathic & Osteopathic PhysiciansPreventive MedicinePublic Health & General Preventive Medicine82167GANo

Taxonomy Description: public health and general preventive medicine focuses on promoting health, preventing disease, and managing the health of communities and defined populations. These practitioners combine population-based public health skills with knowledge of primary, secondary, and tertiary prevention-oriented clinical practice in a wide variety of settings.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
000000598891OTHER (01)OH
1003027202OTHER (01)OH
2951257MEDICAID (05)OH

Other Providers at the same location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1235137100 EVELINA WORWAG MD
Individual
Anesthesiology1320 W MAIN ST
NEWARK, OH 43055
(740) 348-4226
1124026984DR. SHIN KANG MD
Individual
Anesthesiology1320 W MAIN ST
NEWARK, OH 43055
(740) 348-4226
1003814872DR. THOM WOOD
Individual
Emergency Medicine1320 W MAIN ST
NEWARK, OH 43055
(740) 348-4144
1831198522DR. MAY-LEE ROBERTSON DO
Individual
Emergency Medicine1320 W MAIN ST
NEWARK, OH 43055
(740) 348-4144
1881693596DR. STEPHEN SIGRIST MD
Individual
Emergency Medicine1320 W MAIN ST
NEWARK, OH 43055
(740) 348-4144
1255330510DR. DARRYL CHERDRON MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)1320 W MAIN ST
NEWARK, OH 43055
(740) 348-4266
1205835261DR. RR EVANS MD
Individual
Anesthesiology1320 W MAIN ST
NEWARK, OH 43055
(740) 348-4226
1942209903DR. HSEIN HSU MD
Individual
Anesthesiology1320 W MAIN ST
NEWARK, OH 43055
(740) 348-4226
1447250758 GREGORY LOUIS VRABEL M.D.
Individual
Anesthesiology1320 W MAIN ST
NEWARK, OH 43055
(740) 348-4318
1831182955 BRYCE IAN MORRICE MD
Individual
Internal Medicine (Cardiovascular Disease)1320 W MAIN ST
NEWARK, OH 43055
(740) 348-4133
1124096961BI MORRICE MD & DA HELDMAN MD INC
Organization
Internal Medicine (Cardiovascular Disease)1320 W MAIN ST
NEWARK, OH 43055
(740) 348-4133
1558444752 MURIELL E. MITCHELL CRNA
Individual
Registered Nurse1320 W MAIN ST
NEWARK, OH 43055
(740) 348-4226
1295044626MRS. MILDRED ELAINE KINNARD CNP
Individual
Nurse Practitioner (Family)1320 W MAIN ST
NEWARK, OH 43055
(740) 348-4475
1912258898LICKING MEMORIAL HOSPITAL
Organization
Rehabilitation Unit1320 W MAIN ST
NEWARK, OH 43055
(740) 348-4000
1932186053LICKING MEMORIAL PROFESSIONAL CORPORATION
Organization
Pathology (Anatomic Pathology & Clinical Pathology)1320 W MAIN ST
NEWARK, OH 43055
(740) 348-4266
1801004585 DANIEL WILLIAM KENNEDY M.D.
Individual
Radiology (Diagnostic Radiology)1320 W MAIN ST
NEWARK, OH 43055
(740) 348-4710
1588662597DR. ORI TZUK MD
Individual
Internal Medicine (Gastroenterology)1320 W MAIN ST
NEWARK, OH 43055
(740) 348-4137
1629076898DR. JEFF BARE DO
Individual
Emergency Medicine1320 W MAIN ST
NEWARK, OH 43055
(220) 564-4151
1578561676DR. TERRILL BURNWORTH DO
Individual
Emergency Medicine1320 W MAIN ST
NEWARK, OH 43055
(740) 348-4151
1104824002DR. RANDY JONES MD
Individual
Emergency Medicine1320 W MAIN ST
NEWARK, OH 43055
(220) 564-4151

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.