JORGE A VALDIVIA MD
NPI 1639300536
Hospitalist in Kansas City, MO
About Jorge A Valdivia Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JORGE A VALDIVIA MD (NPI 1639300536) is an individual hospitalist provider in Kansas City, Missouri, licensed in Missouri (2016043564) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with University Of Kansas Hospital, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Other Identifiers 1
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
Jorge A Valdivia 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
6Medicare enrollment records show Jorge Valdivia reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kansas City, MO 64114
- Reassigned Medicare billing, Missouri enrollment
- 180 clinicians in this Medicare group
Kansas City, MO 64132
- Reassigned Medicare billing, Missouri enrollment
- 85 clinicians in this Medicare group
Shawnee, KS 66217
- Reassigned Medicare billing, Kansas enrollment
- 128 clinicians in this Medicare group
Dodge City, KS 67801
- Reassigned Medicare billing, Kansas enrollment
- 96 clinicians in this Medicare group
Dallas, TX 75231
- Reassigned Medicare billing, Kansas enrollment
- 121 clinicians in this Medicare group
Humble, TX 77338
- Reassigned Medicare billing, Kansas enrollment
- 245 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 4
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 4
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Kansas Hospital
Acute Care Hospitals · Kansas City, KSAdventhealth Shawnee Mission
Acute Care Hospitals · Shawnee Mission, KSBates County Memorial Hospital
Acute Care Hospitals · Butler, MOSt Joseph Medical Center
Acute Care Hospitals · Kansas City, MOPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 64114 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.
Referred Medical Equipment & Supplies CMS DME claims 2
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.
KANSAS CITY, MO 64114
KANSAS CITY, MO 64114
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 Jorge Valdivia's NPI number?
The NPI number for Jorge Valdivia is 1639300536. It was assigned to this individual provider in the NPPES registry on July 27, 2009.
Where is Jorge Valdivia located?
Jorge Valdivia practices at 1000 Carondelet Dr, Kansas City, MO 64114. The listed phone number is (816) 943-4758.
What is Jorge Valdivia's specialty?
The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.
Is Jorge Valdivia enrolled in Medicare?
Yes. Jorge Valdivia 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 Jorge Valdivia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jorge Valdivia reassigns Medicare benefits to 6 organizations: Prime Healthcare Kansas City - Physician Services LLC (Kansas City, MO), Dunn Physician Services, LLC (Kansas City, MO), Prime Healthcare Physician Services - Providence Inc (Shawnee, KS), Kansas Hospitalist Services PA (Dodge City, KS), Cogent Healthcare Of Texas, PA (Dallas, TX) and 1 more organization, 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 Jorge Valdivia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jorge Valdivia accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Jorge Valdivia 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 Jorge Valdivia affiliated with any hospitals?
According to CMS data, Jorge Valdivia is affiliated with University Of Kansas Hospital, Adventhealth Shawnee Mission, Bates County Memorial Hospital and St Joseph Medical Center.
When was this NPI record last updated?
The NPPES record for Jorge Valdivia was last updated on September 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 38 days 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.
# Jorge A Valdivia, MD · NPI 1639300536
Hospitalist physician in Kansas City, Missouri. Individual provider, active in the CMS NPPES registry since July 27, 2009.
## Identity
- **NPI:** 1639300536 (Entity type: Individual)
- **Enumerated:** July 27, 2009
- **Primary specialty:** Hospitalist · taxonomy 208M00000X
- **State license:** 2016043564 (Missouri)
- **Sole proprietor:** No
## Practice location
- **Address:** 1000 CARONDELET DR, Kansas City, MO 64114
- **Phone:** (816) 943-4758 · **Fax:** (816) 943-4757
## 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:** 6 organizations under Medicare reassignment (form CMS-855R): Prime Healthcare Kansas City - Physician Services LLC (NPI 1427449487, Kansas City, MO); Dunn Physician Services, LLC (NPI 1437990082, Kansas City, MO); Prime Healthcare Physician Services - Providence Inc (NPI 1356683213, Shawnee, KS); Kansas Hospitalist Services PA (NPI 1497255418, Dodge City, KS); Cogent Healthcare Of Texas, PA (NPI 1992722953, Dallas, TX); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Kansas School Of Med, class of 2009
## Record status
- **NPPES last updated:** September 14, 2026
- **Other identifiers:** Other 068002408 (KS)
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Source: [NPI Profile](https://npiprofile.com/npi/1639300536) · Data from the CMS NPPES public registry.