VALDIS LELKES MD
NPI 1427478270
Orthopaedic Surgery in Hackensack, NJ
About Valdis Lelkes Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VALDIS LELKES MD (NPI 1427478270) is an individual orthopaedic surgery provider in Hackensack, New Jersey, licensed in New Jersey (25MA10850300) and active in the NPI registry since April 2014. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Rutgers New Jersey Medical School (2014).
NPPES Registry Identity
Specialties & Licenses
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
Valdis Lelkes 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
4Medicare enrollment records show Valdis Lelkes reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 306 clinicians in this Medicare group
Red Bank, NJ 07701
- Reassigned Medicare billing, New Jersey enrollment
- 2,844 clinicians in this Medicare group
Sandy, UT 84092
- Reassigned Medicare billing, Utah enrollment
- 2,620 clinicians in this Medicare group
Sandy, UT 84092
- Reassigned Medicare billing, Utah enrollment
- 751 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.
Hackensack University Medical Center
Acute Care Hospitals · Hackensack, NJOcean Medical Center
Acute Care Hospitals · Brick, NJJersey Shore University Medical Center
Acute Care Hospitals · Neptune, NJJfk Medical Center
Acute Care Hospitals · Edison, NJSouthern Ocean Medical Center
Acute Care Hospitals · Manahawkin, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07601 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.
Other Providers at the Same Location NPPES 11
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HACKENSACK, NJ 07601
HACKENSACK, NJ 07601
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 Valdis Lelkes's NPI number?
The NPI number for Valdis Lelkes is 1427478270. It was assigned to this individual provider in the NPPES registry on April 20, 2014.
Where is Valdis Lelkes located?
Valdis Lelkes practices at 360 Essex St Ste 203, Hackensack, NJ 07601. The listed phone number is (551) 996-2533.
What is Valdis Lelkes's specialty?
The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.
Is Valdis Lelkes enrolled in Medicare?
Yes. Valdis Lelkes 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 Valdis Lelkes's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Valdis Lelkes reassigns Medicare benefits to 4 organizations: Hackensack Meridian Health Medical Group - Complex Care PC (Red Bank, NJ), Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ), University Of Utah Adult Services (Sandy, UT) and University Of Utah Pediatric Services (Sandy, UT). 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 Valdis Lelkes's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Valdis Lelkes accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Valdis Lelkes 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 Valdis Lelkes affiliated with any hospitals?
According to CMS data, Valdis Lelkes is affiliated with Hackensack University Medical Center, Ocean Medical Center, Jersey Shore University Medical Center, Jfk Medical Center and Southern Ocean Medical Center.
When was this NPI record last updated?
The NPPES record for Valdis Lelkes was last updated on August 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Valdis Lelkes, MD · NPI 1427478270
Orthopaedic Surgery physician in Hackensack, New Jersey. Individual provider, active in the CMS NPPES registry since April 20, 2014.
## Identity
- **NPI:** 1427478270 (Entity type: Individual)
- **Enumerated:** April 20, 2014
- **Primary specialty:** Orthopaedic Surgery · taxonomy 207X00000X
- **State license:** 25MA10850300 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 360 ESSEX ST STE 203, Hackensack, NJ 07601-8566
- **Phone:** (551) 996-2533 · **Fax:** (551) 996-0889
## 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:** 4 organizations under Medicare reassignment (form CMS-855R): Hackensack Meridian Health Medical Group - Complex Care PC (NPI 1154379626, Red Bank, NJ); Hackensack Meridian Health Medical Group - Specialty Care PC (NPI 1215989249, Red Bank, NJ); University Of Utah Adult Services (NPI 1851904247, Sandy, UT); University Of Utah Pediatric Services (NPI 1386257152, Sandy, UT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Rutgers New Jersey Medical School, class of 2014
## Record status
- **NPPES last updated:** August 13, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1427478270) · Data from the CMS NPPES public registry.