HAROL VALENZUELA M.D.
NPI 1386030716
Internal Medicine - Nephrology in Englewood, NJ

Q: What is Harol Valenzuela's NPI number?

The NPI number for Harol Valenzuela is 1386030716. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Q: What is Harol Valenzuela's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Q: When was this NPI record last updated?

The NPPES record for Harol Valenzuela was last updated on September 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 13, 2015PECOS EnrolledAccepts Medicare Assignment

177 N DEAN ST STE 207, ENGLEWOOD, NJ 07631(201) 156-7044 Get Directions Write a Review

NPPES record last updated: September 7, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 7, 2024, May 24, 2021 (2 updates tracked since 2021).

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About Harol Valenzuela M.d. NPPES

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

HAROL VALENZUELA M.D. (NPI 1386030716) is an individual nephrology provider in Englewood, New Jersey, licensed in New Jersey (25MA12355500) and active in the NPI registry since April 2015. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Lawnwood Hospital, and is a graduate of Other (2010).

NPPES Registry Identity

NPI1386030716

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameHAROL VALENZUELACredential: M.D.

Location Address177 N DEAN ST STE 207Englewood, NJ 07631-2522

Mailing Address177 N Dean St Ste 207Englewood, NJ 07631-2522 · (201) 894-3000

Phone(201) 156-7044

Sole ProprietorNo

Medical School CMSOtherGraduated 2010

Enumeration DateApril 13, 2015

Last NPPES UpdateSeptember 7, 20242 updates tracked since enumeration

NPPES CertifiedSeptember 7, 2024

✔ NPI 1386030716 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in NJ · 25MA12355500

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

177 N DEAN ST STE 207, Englewood, NJ 07631

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.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

Harol 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 ID8022362631

PECOS Enrollment IDI20200527000754, I20241014001067

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.

Medicare Billing Reassignments

Medicare enrollment records show Harol Valenzuela reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Associates Of Englewood, PC

0.4 mi

Internal Medicine

350 ENGLE ST
Englewood, NJ 07631

Reassigned Medicare billing, New Jersey enrollment
849 clinicians in this Medicare group

NPI 1952681918 (201) 608-2136

Florida Kidney Physicians , LLC

953 mi

Nephrology

14 SUNTREE PL STE 104
Melbourne, FL 32940

Reassigned Medicare billing, Florida enrollment
210 clinicians in this Medicare group

NPI 1346910866 (321) 768-3655

Hospital Medicine Services Of Fl, LLC

1,088 mi

Hospitalist

20900 BISCAYNE BLVD
Aventura, FL 33180

Reassigned Medicare billing, Florida enrollment
861 clinicians in this Medicare group

NPI 1710684857 (305) 682-7000

Emergency Medicine Services Of Fl, LLC

1,088 mi

Emergency Medicine

20900 BISCAYNE BLVD
Aventura, FL 33180

Reassigned Medicare billing, Florida enrollment
1,912 clinicians in this Medicare group

NPI 1043917180 (305) 682-7000

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 13

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233

Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.

829 services272 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

627 services292 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

210 services192 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

141 services48 patients

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223

Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.

101 services92 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.

61 services34 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

47 services13 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

36 services13 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

26 services26 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

24 services18 patients

Advance care planning, first 30 minutes 99497

Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.

20 services19 patients

Dialysis services, 2-3 physician visits per month (20 years or older) 90961

Dialysis is a treatment that performs the function of healthy kidneys if they're not working properly. It removes waste and excess fluid from your blood. 2-3 physician visits per month are recommended for monitoring your health and adjusting your treatment as needed. This service is available for those aged 20 years and older.

13 services12 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

11 services11 patients

Hospital Affiliations CMS Care Compare 3

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

Hca Florida Lawnwood Hospital

Acute Care Hospitals · Fort Pierce, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100246

Location1700 S 23rd StFort Pierce, FL 34950 · St. Lucie County

Emergency services Birthing friendly

Holy Name Medical Center

Acute Care Hospitals · Teaneck, NJ

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310008

Location718 Teaneck RdTeaneck, NJ 07666 · Bergen County

Emergency services Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310045

Location350 Engle StEnglewood, NJ 07631 · Bergen County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07631 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

$144.86 typical visit price

range $63.84 – $190.92

Typical copayment $36.21 (range $15.96 – $47.73)

Most-billed visit code 99204

Established Patient

$111.57 typical visit price

range $20.97 – $155.92

Typical copayment $27.89 (range $5.24 – $38.98)

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.

GIANA KRISTY RAMOS D.O.

Internal Medicine (Nephrology)

177 N DEAN ST STE 207
ENGLEWOOD, NJ 07631

Bergen County (201) 567-0446

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 Harol Valenzuela's NPI number?

The NPI number for Harol Valenzuela is 1386030716. It was assigned to this individual provider in the NPPES registry on April 13, 2015.

Where is Harol Valenzuela located?

Harol Valenzuela practices at 177 N Dean St Ste 207, Englewood, NJ 07631. The listed phone number is (201) 156-7044.

What is Harol Valenzuela's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Harol Valenzuela enrolled in Medicare?

Yes. Harol 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.

Which organizations bill Medicare for Harol Valenzuela's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Harol Valenzuela reassigns Medicare benefits to 4 organizations: Medical Associates Of Englewood, PC (Englewood, NJ), Florida Kidney Physicians , LLC (Melbourne, FL), Hospital Medicine Services Of Fl, LLC (Aventura, FL) and Emergency Medicine Services Of Fl, LLC (Aventura, FL). 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 Harol Valenzuela's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Harol Valenzuela accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and Florida Blue (BlueCross BlueShield FL) and 2 other insurers list Harol Valenzuela 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 Harol Valenzuela affiliated with any hospitals?

According to CMS data, Harol Valenzuela is affiliated with Hca Florida Lawnwood Hospital, Holy Name Medical Center and Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Harol Valenzuela was last updated on September 7, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.