JOSHUA VALDEZ MD
NPI 1710618566
Family Medicine in Decatur, IL

Active since June 22, 2022PECOS EnrolledAccepts Medicare Assignment
102 W KENWOOD AVE STE 100, DECATUR, IL 62526(217) 872-3811(217) 872-0849 Get Directions Write a Review

NPPES record last updated: July 6, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Joshua Valdez Md NPPES

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

JOSHUA VALDEZ MD (NPI 1710618566) is an individual family medicine provider in Decatur, Illinois, licensed in Illinois (125.080959) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Decatur Memorial Hospital, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1710618566
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOSHUA VALDEZCredential: MD
Location Address102 W KENWOOD AVE STE 100Decatur, IL 62526-4379
Mailing Address3976 N Water StDecatur, IL 62526-1855 · (630) 696-1018
Fax(217) 872-0849
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 22, 2022
Last NPPES UpdateJuly 6, 2023
NPPES CertifiedJuly 6, 2023
✔ NPI 1710618566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IL · 125.080959
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedInternal MedicineTaxonomy 207R00000X · License 125.080959 (IL)
102 W KENWOOD AVE STE 100, Decatur, IL 62526

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

Joshua Valdez 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 ID749640084
PECOS Enrollment IDI20260722003391
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 Reassignment

Medicare enrollment records show Joshua Valdez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
8600 N STATE ROUTE 91
Peoria, IL 61615
  • Reassigned Medicare billing, Illinois enrollment
  • 2,944 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.

Hospital Affiliations CMS Care Compare

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

Decatur Memorial Hospital

Acute Care Hospitals · Decatur, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140135
Location2300 North Edward StreetDecatur, IL 62526 · Macon County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62526 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
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.

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.

Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526
Family Medicine
102 W KENWOOD AVE STE 100
DECATUR, IL 62526

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 Joshua Valdez's NPI number?

The NPI number for Joshua Valdez is 1710618566. It was assigned to this individual provider in the NPPES registry on June 22, 2022.

Where is Joshua Valdez located?

Joshua Valdez practices at 102 W Kenwood Ave Ste 100, Decatur, IL 62526. The listed phone number is (217) 872-3811.

What is Joshua Valdez's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Joshua Valdez enrolled in Medicare?

Yes. Joshua Valdez 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 organization bills Medicare for Joshua Valdez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joshua Valdez reassigns Medicare benefits to Osf Multi-Specialty Group (Peoria, IL). The 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 Joshua Valdez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joshua Valdez accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Joshua Valdez 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 Joshua Valdez affiliated with any hospitals?

According to CMS data, Joshua Valdez is affiliated with Decatur Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Joshua Valdez was last updated on July 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.