DR. OSVALDO F. VALENZUELA M.D.
NPI 1508847088
Internal Medicine - Nephrology in Atlantis, FL

Q: What is Osvaldo Valenzuela's NPI number?

The NPI number for Osvaldo Valenzuela is 1508847088. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Q: What is Osvaldo Valenzuela's specialty?

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

Active since November 10, 2005PECOS EnrolledAccepts Medicare Assignment

5503 S CONGRESS AVE, SUITE 103, ATLANTIS, FL 33462(561) 965-7228(561) 965-0120 Get Directions Write a Review

NPPES record last updated: December 29, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Osvaldo F. Valenzuela M.d. NPPES

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

DR. OSVALDO F. VALENZUELA M.D. (NPI 1508847088) is an individual nephrology provider in Atlantis, Florida, licensed in Florida (ME77932) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Bethesda Hospital Inc, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1508847088

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. OSVALDO F. VALENZUELACredential: M.D.

Location Address5503 S CONGRESS AVE, SUITE 103Atlantis, FL 33462-6614

Mailing Address5503 S Congress Ave, Suite 103Atlantis, FL 33462-6614 · (561) 965-7228 · Fax (561) 965-0120

Phone(561) 965-7228

Fax(561) 965-0120

Sole ProprietorNo

Medical School CMSOtherGraduated 1992

Enumeration DateNovember 10, 2005

Last NPPES UpdateDecember 29, 2015

✔ NPI 1508847088 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in FL · ME77932

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.

Also ListedSpecialistTaxonomy 174400000X · License ME77932 (FL)

5503 S CONGRESS AVE, Atlantis, FL 33462

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Other Identifiers 5

Other390007335FL · Rr Medicare

Other46400FL · Blue Cross Blue Shield

Medicare ID-Type Unspecified46400YFL

Medicare UPING91090FL

Medicaid257566300FL

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, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Osvaldo F. 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 ID1557322401

PECOS Enrollment IDI20100308000789

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 11

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 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.

820 services230 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

507 services231 patients

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.

276 services128 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.

269 services45 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.

255 services70 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.

189 services70 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.

129 services119 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

114 services76 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.

97 services70 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.

37 services37 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

15 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Bethesda Hospital Inc

Acute Care Hospitals · Boynton Beach, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100002

Location2815 S Seacrest BlvdBoynton Beach, FL 33435 · Palm Beach County

Emergency services Birthing friendly

Hca Florida Jfk Hospital

Acute Care Hospitals · Atlantis, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100080

Location5301 S Congress AveAtlantis, FL 33462 · Palm Beach County

Emergency services

Hca Florida Palms West Hospital

Acute Care Hospitals · Loxahatchee, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100269

Location13001 Southern BlvdLoxahatchee, FL 33470 · Palm Beach County

Emergency services Birthing friendly

Wellington Regional Medical Center

Acute Care Hospitals · Wellington, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100275

Location10101 Forest Hill BlvdWellington, FL 33414 · Palm Beach County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33462 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tacrolimus, immediate release, oral, 1 mg J7507

Treatment-Treatment - Miscellaneous · category RX029N

6 suppliers42 claims2,370 services$0.32 avg. paid by Medicare

Mycophenolate mofetil, oral, 250 mg J7517

Treatment-Treatment - Miscellaneous · category RX029N

3 suppliers24 claims2,880 services$0.20 avg. paid by Medicare

Mycophenolic acid, oral, 180 mg J7518

Treatment-Treatment - Miscellaneous · category RX029N

1 supplier12 claims2,340 services$0.95 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for the first prescription in a 30-day period Q0511

Treatment-Chemotherapy · category RH012N

4 suppliers33 claims33 services$18.41 avg. paid by Medicare

Pharmacy supply fee for oral anti-cancer, oral anti-emetic or immunosuppressive drug(s); for a subsequent prescription in a 30-day period Q0512

Treatment-Chemotherapy · category RH012N

6 suppliers52 claims56 services$12.64 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

DR. DAVID HALPERT M.D.

Internal Medicine (Nephrology)

5503 S CONGRESS AVE, SUITE 103
ATLANTIS, FL 33462

Palm Beach County (561) 965-7228

DR. JOSE F. ARRASCUE M.D.

Internal Medicine (Nephrology)

5503 S CONGRESS AVE, SUITE 103
ATLANTIS, FL 33462

Palm Beach County (561) 965-7228

BARRY HUGH ABRAMS M.D.

Internal Medicine (Infectious Disease)

5503 S CONGRESS AVE, SUITE 104
ATLANTIS, FL 33462

Palm Beach County (561) 967-0101

PALM BEACH HEART ASSOCIATES PA

Internal Medicine (Interventional Cardiology)

5503 S CONGRESS AVE, SUITE 206
ATLANTIS, FL 33462

Palm Beach County (561) 433-0591

SOUTH PALM BEACH NEPHROLOGY, PA

Specialist

5503 S CONGRESS AVE, SUITE 103
ATLANTIS, FL 33462

Palm Beach County (561) 965-7228

MS. DOLLIE HARRILAL ARNP

Nurse Practitioner

5503 S CONGRESS AVE, SUITE 206
ATLANTIS, FL 33462

Palm Beach County (561) 434-0353

PETER GOBAR MD

Psychiatry & Neurology (Psychiatry)

5503 S CONGRESS AVE, SUITE 205
ATLANTIS, FL 33462

Palm Beach County (561) 964-7511

MS. JILL KINLEY ARNP

Nurse Practitioner

5503 S CONGRESS AVE, SUITE 206
ATLANTIS, FL 33462

Palm Beach County (561) 434-0353

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 Osvaldo Valenzuela's NPI number?

The NPI number for Osvaldo Valenzuela is 1508847088. It was assigned to this individual provider in the NPPES registry on November 10, 2005.

Where is Osvaldo Valenzuela located?

Osvaldo Valenzuela practices at 5503 S Congress Ave Suite 103, Atlantis, FL 33462. The listed phone number is (561) 965-7228.

What is Osvaldo Valenzuela's specialty?

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

Is Osvaldo Valenzuela enrolled in Medicare?

Yes. Osvaldo 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.

What insurance does Osvaldo Valenzuela accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 5 other insurers list Osvaldo 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 Osvaldo Valenzuela affiliated with any hospitals?

According to CMS data, Osvaldo Valenzuela is affiliated with Bethesda Hospital Inc, Hca Florida Jfk Hospital, Hca Florida Palms West Hospital and Wellington Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Osvaldo Valenzuela was last updated on December 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.