DR. RUPERTO CASTANEDA VALLARTA JR. M.D.
NPI 1750674412
Pediatrics in Lewistown, PA

Q: What is Ruperto Vallarta's NPI number?

The NPI number for Ruperto Vallarta is 1750674412. It was assigned to this individual provider in the NPPES registry on May 26, 2011.

Q: What is Ruperto Vallarta's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Ruperto Vallarta was last updated on July 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.

Active since May 26, 2011PECOS Enrolled

400 HIGHLAND AVE, LEWISTOWN, PA 17044(717) 242-4254(717) 242-4234 Get Directions Write a Review

NPPES record last updated: July 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Dr. Ruperto Castaneda Vallarta Jr. M.d. NPPES

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

DR. RUPERTO CASTANEDA VALLARTA JR. M.D. (NPI 1750674412) is an individual pediatrics provider in Lewistown, Pennsylvania, licensed in Pennsylvania (MD494859) and active in the NPI registry since May 2011. He is enrolled in Medicare PECOS and is a graduate of Other (2003).

NPPES Registry Identity

NPI1750674412

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. RUPERTO CASTANEDA VALLARTA JR.Credential: M.D.

Location Address400 HIGHLAND AVELewistown, PA 17044-1167

Mailing Address100 N Academy AveDanville, PA 17822-4903 · (717) 242-4254 · Fax (717) 242-4234

Phone(717) 242-4254

Fax(717) 242-4234

Sole ProprietorNo

Medical School CMSOtherGraduated 2003

Enumeration DateMay 26, 2011

Last NPPES UpdateJuly 10, 2026

NPPES CertifiedJuly 10, 2026

✔ NPI 1750674412 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in PA · MD494859

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

400 HIGHLAND AVE, Lewistown, PA 17044

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Other Identifiers 1

Medicaid003642900FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Ruperto Castaneda Vallarta Jr. M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204005127

PECOS Enrollment IDI20260615000197

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

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

Geisinger Clinic

1.3 mi

Internal Medicine

21 GEISINGER LN
Lewistown, PA 17044

Reassigned Medicare billing, Pennsylvania enrollment
4,429 clinicians in this Medicare group

NPI 1770534166 (717) 242-4200

Medstar Medical Group II LLC

101 mi

General Practice

5601 LOCH RAVEN BLVD, RUSSELL MORGAN BLDG 3RD FL
Baltimore, MD 21239

Reassigned Medicare billing, Maryland enrollment
2,602 clinicians in this Medicare group

NPI 1184046187 (443) 444-5606

Privia Care Center LLC

105 mi

Internal Medicine

301 SAINT PAUL ST STE 409
Baltimore, MD 21202

Reassigned Medicare billing, District of Columbia enrollment
242 clinicians in this Medicare group

NPI 1730664012 (571) 366-8850

Privia Medical Group, LLC

122 mi

Internal Medicine

950 N GLEBE RD STE 700
Arlington, VA 22203

Reassigned Medicare billing, District of Columbia enrollment
1,534 clinicians in this Medicare group

NPI 1013042480 (571) 366-8850

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 17044 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

$84.88 typical visit price

range $54.64 – $166.87

Typical copayment $21.22 (range $13.66 – $41.71)

Most-billed visit code 99203

Established Patient

$96.82 typical visit price

range $17.33 – $135.84

Typical copayment $24.20 (range $4.33 – $33.96)

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.

MS. JOAN E. SAVAGE R.D.

Dietitian, Registered