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

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 37 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.

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: August 09, 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.

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

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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).

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.

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