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DR. ROLANDO GABRIEL VALENZUELA M.D.
NPI 1275794885
Emergency Medicine in Stony Brook, NY

Active since June 17, 2008PECOS EnrolledAccepts Medicare Assignment
HSC LEVEL 4 RM 080, DEPARTMENT OF EMERGENCY MEDICINE, STONY BROOK, NY 11794(631) 444-2478(323) 226-6465 Get Directions Write a Review

NPPES record last updated: January 13, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 13, 2023, Jul 21, 2022 (2 updates tracked since 2022).

About Dr. Rolando Gabriel Valenzuela M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ROLANDO GABRIEL VALENZUELA M.D. (NPI 1275794885) is an individual emergency medicine provider in Stony Brook, New York, licensed in Florida (ME160487) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and maintains a secondary practice location in Miami.

NPPES Registry Identity

NPI1275794885
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameDR. ROLANDO GABRIEL VALENZUELACredential: M.D.
Location AddressHSC LEVEL 4 RM 080, DEPARTMENT OF EMERGENCY MEDICINEStony Brook, NY 11794
Mailing Address436 Sw 15th RdMiami, FL 33129-1011 · (917) 439-1662
Phone(631) 444-2478
Fax(323) 226-6465
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 2008
Enumeration DateJune 17, 2008
Last NPPES UpdateJanuary 13, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 13, 2023
✔ NPI 1275794885 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Licenses✔ Licensed in FL · ME160487✔ Licensed in CA · A121092✔ Licensed in NY · 2883733✔ Licensed in TN · 53074
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
HSC LEVEL 4 RM 080, Stony Brook, NY 11794
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Secondary Practice Location 1

Location 11611 NW 12th Ave Dept OfMiami, FL 33136-1096 · Phone (917) 439-1662

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Rolando Gabriel Valenzuela M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6305071770
PECOS Enrollment IDI20230127002866
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
50 services50 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
35 services35 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
11 services11 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11794 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. DOUGLAS MULLER P.A.
Physician Assistant
HSC LEVEL 4 RM 080
STONY BROOK, NY 11794
Suffolk County (631) 444-2478

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Rolando Valenzuela's NPI number?

The NPI number for Rolando Valenzuela is 1275794885. It was assigned to this individual provider in the NPPES registry on June 17, 2008.

Where is Rolando Valenzuela located?

Rolando Valenzuela practices at Hsc Level 4 Rm 080 Department Of Emergency Medicine, Stony Brook, NY 11794. The listed phone number is (631) 444-2478.

What is Rolando Valenzuela's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Rolando Valenzuela enrolled in Medicare?

Yes. Rolando Valenzuela is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Rolando Valenzuela affiliated with any hospitals?

According to CMS data, Rolando Valenzuela is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Rolando Valenzuela was last updated on January 13, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.