Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JAVIER ALFONSO GOMEZ VALENCIA MD
NPI 1669789020
Internal Medicine - Cardiovascular Disease in Chicago, IL

Active since September 08, 2010PECOS EnrolledAccepts Medicare Assignment
84.57/100
CMS Quality Rating
1901 W HARRISON ST, CHICAGO, IL 60612(312) 864-6000 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 2, 2026, Apr 23, 2021, Jul 9, 2020 and 1 more (4 updates tracked since 2016).

About Javier Alfonso Gomez Valencia Md NPPES

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

JAVIER ALFONSO GOMEZ VALENCIA MD (NPI 1669789020) is an individual cardiovascular disease provider in Chicago, Illinois, licensed in Illinois (036-130372) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with John H Stroger Jr Hospital, and maintains a secondary practice location in Two Rivers.

NPPES Registry Identity

NPI1669789020
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameJAVIER ALFONSO GOMEZ VALENCIACredential: MD
Location Address1901 W HARRISON STChicago, IL 60612-3714
Mailing Address1900 W Polk StChicago, IL 60612-3723 · (312) 864-6000
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateSeptember 8, 2010
Last NPPES UpdateOctober 2, 20264 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ NPI 1669789020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Licenses✔ Licensed in IL · 036-130372✔ Licensed in WI · 15293
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036130372 (IL)
Also ListedNuclear Medicine · Nuclear CardiologyTaxonomy 207UN0901X · License 036-130372 (IL)
1901 W HARRISON ST, Chicago, IL 60612

Secondary Practice Location 1

Location 15000 Memorial DrTwo Rivers, WI 54241-3900 · Phone (920) 794-5000

Other Identifiers 1

Medicaid100422746WI

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

Javier Alfonso Gomez Valencia 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.

PECOS PAC ID6406000421
PECOS Enrollment IDI20130129000119
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

4

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

Same address
End-Stage Renal Disease (ESRD) Treatment
1901 W HARRISON ST
Chicago, IL 60612
  • Reassigned Medicare billing, Illinois enrollment
  • 1,047 clinicians in this Medicare group
Nurse Anesthetist, Certified Registered
3301 W FOREST HOME AVE
Milwaukee, WI 53215
  • Reassigned Medicare billing, Wisconsin enrollment
  • 4,609 clinicians in this Medicare group
Critical Care Medicine
701 N BROADWAY
Sleepy Hollow, NY 10591
  • Reassigned Medicare billing, Illinois enrollment
  • 9 clinicians in this Medicare group
Anesthesiology
2 PARK AVE STE 2039
New York, NY 10016
  • Reassigned Medicare billing, Texas enrollment
  • 62 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 6

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
110 services85 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.
56 services44 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
28 services28 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.
24 services18 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
22 services22 patients
Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306
This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.
13 services13 patients

Hospital Affiliations CMS Care Compare 2

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

John H Stroger Jr Hospital

Acute Care Hospitals · Chicago, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140124
Location1901 W Harrison StChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Provident Hospital Of Chicago

Acute Care Hospitals · Chicago, IL
OwnershipGovernment - Local
CMS Certification Number140300
Location500 E 51st StChicago, IL 60615 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

84.57/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality60.25
Promoting Interoperability100
Improvement Activities40
Cost67

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.

Emergency Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Internal Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Obstetrics & Gynecology (Gynecology)
1901 W HARRISON ST
CHICAG, IL 60612
Internal Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Pharmacy (Clinic Pharmacy)
1901 W HARRISON ST
CHICAGO, IL 60612
Emergency Medicine
1901 W HARRISON ST
CHICAGO, IL 60612
Physician Assistant
1901 W HARRISON ST
CHICAGO, IL 60612
General Acute Care Hospital
1901 W HARRISON ST
CHICAGO, IL 60612

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 Javier Gomez Valencia's NPI number?

The NPI number for Javier Gomez Valencia is 1669789020. It was assigned to this individual provider in the NPPES registry on September 8, 2010.

Where is Javier Gomez Valencia located?

Javier Gomez Valencia practices at 1901 W Harrison St, Chicago, IL 60612. The listed phone number is (312) 864-6000.

What is Javier Gomez Valencia's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Javier Gomez Valencia enrolled in Medicare?

Yes. Javier Gomez Valencia 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 Javier Gomez Valencia's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Javier Gomez Valencia reassigns Medicare benefits to 4 organizations: Cook County (Chicago, IL), Aurora Medical Group, Inc. (Milwaukee, WI), Critical Care Medical Management Associates PLLC (Sleepy Hollow, NY) and Ccmma Tx PLLC (New York, NY). 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 Javier Gomez Valencia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Javier Gomez Valencia affiliated with any hospitals?

According to CMS data, Javier Gomez Valencia is affiliated with John H Stroger Jr Hospital and Provident Hospital Of Chicago.

When was this NPI record last updated?

The NPPES record for Javier Gomez Valencia was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.