EDUARDO ANDRES TORRE VALDIVIESO MD
NPI 1821674532
Dermatology - Dermatopathology in Pleasant Prairie, WI
About Eduardo Andres Torre Valdivieso Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EDUARDO ANDRES TORRE VALDIVIESO MD (NPI 1821674532) is an individual dermatopathology provider in Pleasant Prairie, Wisconsin, licensed in Wisconsin (87741-20) and active in the NPI registry since March 2021. He is enrolled in Medicare PECOS, maintains a secondary practice location in Libertyville, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses 3
Secondary Practice Location 1
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
Eduardo Andres Torre Valdivieso 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.
Medicare Billing Reassignments
3Medicare enrollment records show Eduardo Torre Valdivieso reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Pleasant Prairie, WI 53158
- Reassigned Medicare billing, Wisconsin enrollment
- Medicare enrollment name: Forefront Dermatology Sc
- 60 clinicians in this Medicare group
Stockton, CA 95210
- Reassigned Medicare billing, California enrollment
- 20,078 clinicians in this Medicare group
Pleasanton, CA 94588
- Reassigned Medicare billing, California enrollment
- 4,258 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 53158 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PLEASANT PRAIRIE, WI 53158
PLEASANT PRAIRIE, WI 53158
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 Eduardo Torre Valdivieso's NPI number?
The NPI number for Eduardo Torre Valdivieso is 1821674532. It was assigned to this individual provider in the NPPES registry on March 23, 2021.
Where is Eduardo Torre Valdivieso located?
Eduardo Torre Valdivieso practices at 7809 100th St, Pleasant Prairie, WI 53158. The listed phone number is (262) 345-2358.
What is Eduardo Torre Valdivieso's specialty?
The primary specialty registered for this NPI is Dermatology, specializing in Dermatopathology, with taxonomy code 207ND0900X.
Is Eduardo Torre Valdivieso enrolled in Medicare?
Yes. Eduardo Torre Valdivieso 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 Eduardo Torre Valdivieso's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Eduardo Torre Valdivieso reassigns Medicare benefits to 3 organizations: Forefront Dermatology, S.C. (Pleasant Prairie, WI), Permanente Medical Group Inc (Stockton, CA) and Stanford Health Care (Pleasanton, CA). 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 Eduardo Torre Valdivieso's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Eduardo Torre Valdivieso accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 4 other insurers list Eduardo Torre Valdivieso 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.
When was this NPI record last updated?
The NPPES record for Eduardo Torre Valdivieso was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Eduardo Andres Torre Valdivieso, MD · NPI 1821674532
Dermatopathology physician in Pleasant Prairie, Wisconsin. Individual provider, active in the CMS NPPES registry since March 23, 2021.
## Identity
- **NPI:** 1821674532 (Entity type: Individual)
- **Enumerated:** March 23, 2021
- **Primary specialty:** Dermatology - Dermatopathology · taxonomy 207ND0900X
- **State license:** 87741-20 (Wisconsin)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 7809 100TH ST, Pleasant Prairie, WI 53158-2806
- **Phone:** (262) 345-2358 · **Fax:** (262) 912-0137
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 3 organizations under Medicare reassignment (form CMS-855R): Forefront Dermatology, S.C. (NPI 1932904257, Pleasant Prairie, WI); Permanente Medical Group Inc (NPI 1548343510, Stockton, CA); Stanford Health Care (NPI 1124561758, Pleasanton, CA) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** August 7, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1821674532) · Data from the CMS NPPES public registry.