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: April 23, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 23, 2021, Jul 9, 2020, Mar 2, 2016 (3 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 is a graduate of Other (2005).

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 UpdateApril 23, 20213 updates tracked since enumeration
NPPES CertifiedApril 23, 2021
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
License Licensed in IL · 036-130372
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

Accepted 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

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.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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.

Pharmacist (Pharmacotherapy)
1901 W HARRISON ST, LL 170
CHICAGO, IL 60612
Surgery (Surgical Critical Care)
1901 W HARRISON ST, DIVISION OF SURGICAL CRITICAL CARE
CHICAGO, IL 60612
Clinical Nurse Specialist (Adult Health)
1901 W HARRISON ST
CHICAGO, IL 60612
Radiology (Diagnostic Radiology)
1901 W HARRISON ST
CHICAGO, IL 60612
Specialist
1901 W HARRISON ST
CHICAGO, IL 60612
Radiology (Diagnostic Radiology)
1901 W HARRISON ST, ROOM 2533
CHICAGO, IL 60612
Nurse Practitioner (Adult Health)
1901 W HARRISON ST, 2ND FLOOR, GENERAL MEDICINE CLINIC
CHICAGO, IL 60612
Radiology (Diagnostic Radiology)
1901 W HARRISON ST, JOHN H. STROGER, JR. HOSPITAL OF COOK COUNTY
CHICAGO, IL 60612

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1669789020, enumerated as an "individual" on September 08, 2010.

The provider is located at 1901 W HARRISON ST CHICAGO, IL 60612 and the phone number is (312) 864-6000.

Internal Medicine with taxonomy code 207RC0000X and a focus in Cardiovascular Disease.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter Health. Please consult your insurance carrier or call the provider to verify.

Javier Gomez Valencia is affiliated with: JOHN H STROGER JR HOSPITAL and PROVIDENT HOSPITAL OF CHICAGO.