BERTHA ELVIRA SANCHEZ VALDIVIESO MD
NPI 1356571236
Internal Medicine in Alexandria, VA
About Bertha Elvira Sanchez Valdivieso Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BERTHA ELVIRA SANCHEZ VALDIVIESO MD (NPI 1356571236) is an individual internal medicine provider in Alexandria, Virginia, licensed in Virginia (0101261134) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS, is affiliated with Southeast Georgia Health System- Brunswick Campus, and maintains 3 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Bertha Elvira Sanchez Valdivieso Md 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.
Medicare Billing Reassignments
19Medicare enrollment records show Bertha Sanchez Valdivieso reassigns Medicare billing to 19 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Falls Church, VA 22042
- Reassigned Medicare billing, Virginia enrollment
- 1,294 clinicians in this Medicare group
Hyattsville, MD 20782
- Reassigned Medicare billing, Maryland enrollment
- 794 clinicians in this Medicare group
Fredericksburg, VA 22401
- Reassigned Medicare billing, Virginia enrollment
- 258 clinicians in this Medicare group
Winchester, VA 22601
- Reassigned Medicare billing, District of Columbia and Virginia enrollments
- 147 clinicians in this Medicare group
Dover, DE 19901
- Reassigned Medicare billing, Delaware enrollment
- 166 clinicians in this Medicare group
Richmond, VA 23226
- Reassigned Medicare billing, Virginia enrollment
- 104 clinicians in this Medicare group
Newark, DE 19713
- Reassigned Medicare billing, Delaware enrollment
- 460 clinicians in this Medicare group
Low Moor, VA 24457
- Reassigned Medicare billing, Virginia enrollment
- 88 clinicians in this Medicare group
Salem, VA 24153
- Reassigned Medicare billing, Virginia enrollment
- 181 clinicians in this Medicare group
Abingdon, VA 24210
- Reassigned Medicare billing, Virginia enrollment
- 40 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 7
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.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Southeast Georgia Health System- Brunswick Campus
Acute Care Hospitals · Brunswick, GASoutheast Iowa Regional Medical Center
Acute Care Hospitals · West Burlington, IAMaine Medical Center
Acute Care Hospitals · Portland, MELewisgale Medical Center
Acute Care Hospitals · Salem, VAJohnston Memorial Hospital
Acute Care Hospitals · Abingdon, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 22304 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Reported Quality Measures
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
ALEXANDRIA, VA 22304
ALEXANDRIA, VA 22304
ALEXANDRIA, VA 22304
ALEXANDRIA, VA 22304
ALEXANDRIA, VA 22304
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 Bertha Sanchez Valdivieso's NPI number?
The NPI number for Bertha Sanchez Valdivieso is 1356571236. It was assigned to this individual provider in the NPPES registry on July 25, 2009.
Where is Bertha Sanchez Valdivieso located?
Bertha Sanchez Valdivieso practices at 4320 Seminary Rd, Alexandria, VA 22304. The listed phone number is (703) 504-3000.
What is Bertha Sanchez Valdivieso's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Bertha Sanchez Valdivieso enrolled in Medicare?
Yes. Bertha Sanchez Valdivieso 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.
Which organizations bill Medicare for Bertha Sanchez Valdivieso's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Bertha Sanchez Valdivieso reassigns Medicare benefits to 19 organizations: Emergency Medicine Associates P.A., P.C. (Falls Church, VA), Luminis Health Medical Group, LLC (Hyattsville, MD), Hospitalist Medicine Physicians Of Fredericksburg, LLC (Fredericksburg, VA), Hospitalist Medicine Physicians Of Virginia LLC (Winchester, VA), Apogee Medical Group, Delaware, Inc (Dover, DE) and 14 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bertha Sanchez Valdivieso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Bertha Sanchez Valdivieso accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 5 other insurers list Bertha Sanchez Valdivieso as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Bertha Sanchez Valdivieso affiliated with any hospitals?
According to CMS data, Bertha Sanchez Valdivieso is affiliated with Southeast Georgia Health System- Brunswick Campus, Southeast Iowa Regional Medical Center, Maine Medical Center, Lewisgale Medical Center and Johnston Memorial Hospital.
When was this NPI record last updated?
The NPPES record for Bertha Sanchez Valdivieso was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.
# Bertha Elvira Sanchez Valdivieso, MD · NPI 1356571236
Internal Medicine physician in Alexandria, Virginia. Individual provider, active in the CMS NPPES registry since July 25, 2009.
## Identity
- **NPI:** 1356571236 (Entity type: Individual)
- **Enumerated:** July 25, 2009
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 0101261134 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4320 SEMINARY RD, Alexandria, VA 22304-1535
- **Phone:** (703) 504-3000
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 19 organizations under Medicare reassignment (form CMS-855R): Emergency Medicine Associates P.A., P.C. (NPI 1134117393, Falls Church, VA); Luminis Health Medical Group, LLC (NPI 1811494990, Hyattsville, MD); Hospitalist Medicine Physicians Of Fredericksburg, LLC (NPI 1447577572, Fredericksburg, VA); Hospitalist Medicine Physicians Of Virginia LLC (NPI 1770756991, Winchester, VA); Apogee Medical Group, Delaware, Inc (NPI 1326485285, Dover, DE); and 14 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** May 27, 2025
---
Source: [NPI Profile](https://npiprofile.com/npi/1356571236) · Data from the CMS NPPES public registry.