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JOHN P VALENTI MD
NPI 1831205186
Internal Medicine in Reston, VA

Active since August 21, 2006PECOS EnrolledAccepts Medicare Assignment
1850A TOWN CENTER PKWY, SUITE 209, RESTON, VA 20190(703) 437-5532(703) 437-7022 Get Directions Write a Review

NPPES record last updated: September 23, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About John P Valenti Md NPPES

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

JOHN P VALENTI MD (NPI 1831205186) is an individual internal medicine provider in Reston, Virginia, licensed in Virginia (0101050115) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Reston Hospital Center, and is a graduate of Georgetown University School Of Medicine (1991).

NPPES Registry Identity

NPI1831205186
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJOHN P VALENTICredential: MD
Location Address1850A TOWN CENTER PKWY, SUITE 209Reston, VA 20190-5851
Mailing Address1850a Town Center Pkwy, Suite209Reston, VA 20190-5851 · (703) 437-5532 · Fax (703) 437-7022
Phone(703) 437-5532
Fax(703) 437-7022
Sole ProprietorNo
Medical School CMSGeorgetown University School Of MedicineGraduated 1991
Enumeration DateAugust 21, 2006
Last NPPES UpdateSeptember 23, 2011
✔ NPI 1831205186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in VA · 0101050115
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1850A TOWN CENTER PKWY, Reston, VA 20190
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Other Identifiers 2

Medicare UPING01093DC
Medicare ID-Type UnspecifiedG01961I01DC · Dc Metro, N.va & Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

John P Valenti 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 ID8426961483
PECOS Enrollment IDI20050422000316, I20140711001693
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 John Valenti reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Privia Medical Group, LLC
15 mi
Internal Medicine
950 N GLEBE RD STE 700
Arlington, VA 22203
  • Reassigned Medicare billing, District of Columbia and Virginia enrollments
  • 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.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
336 services154 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.
196 services114 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
149 services149 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
69 services69 patients
Influenza vaccine, inactivated 90653
The Influenza vaccine, inactivated, is a shot given to protect against the flu. It contains killed virus particles that help your body build immunity to the flu. It's recommended annually to keep your protection up-to-date. It's safe for ages 6 months and up.
64 services64 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
58 services40 patients

Hospital Affiliations CMS Care Compare

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

Reston Hospital Center

Acute Care Hospitals · Reston, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490107
Location1850 Town Center ParkwayReston, VA 20190 · Fairfax County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 20190 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
$147.85 typical visit price
range $65.18 – $194.86
Typical copayment $36.96 (range $16.29 – $48.71)
Most-billed visit code 99204
Established Patient
$113.72 typical visit price
range $21.40 – $158.88
Typical copayment $28.43 (range $5.35 – $39.72)
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.

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.

Reported Quality Measures

e-Prescribing
At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.
96%8,786 patients4/55-star benchmark: 99%
Health Information Exchange
The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…
75%602 patients4/55-star benchmark: 88%
Medication Reconciliation
The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.
100%867 patients5/55-star benchmark: 100%
Patient-Specific Education
The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.
49%2,936 patients3/55-star benchmark: 97%
Provide Patient Access
At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…
99%2,853 patients4/55-star benchmark: 100%
Secure Messaging
For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…
87%2,853 patients4/55-star benchmark: 89%
View, Download, or Transmit (VDT)
At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.
76%2,853 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers18 claims53 services$6.17 avg. paid by Medicare
Continuous positive airway pressure (cpap) device E0601
DME-Other DME · category DE001N
1 supplier11 claims11 services$28.66 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

BENCHMARK HEALTH SYSTEMS, LLC
Specialist
1850A TOWN CENTER PKWY, STE 410
RESTON, VA 20190
Fairfax County (703) 478-5350
MRS. TAMARA LEVIN MORGAN FNP
Nurse Practitioner (Family)
1850A TOWN CENTER PKWY
RESTON, VA 20190
Fairfax County (703) 437-5532
MATTHEW A FITZER MD
Surgery
1850A TOWN CENTER PKWY, SUITE 301
RESTON, VA 20190
Fairfax County (703) 709-9701
FRED F TAWEEL MD
Internal Medicine
1850A TOWN CENTER PKWY, SUITE 209
RESTON, VA 20190
Fairfax County (703) 437-5532
NEERAJ BHUSHAN M.D.
Internal Medicine
1850A TOWN CENTER PKWY, SUITE 410
RESTON, VA 20190
Fairfax County (703) 478-5350
ADVANCED WEIGHT LOSS SOLUTIONS, P.C.
Specialist
1850A TOWN CENTER PKWY, SUITE 301
RESTON, VA 20190
Fairfax County (703) 639-5529
VIRGINIA BARIATRIC SURGERY P.C.
Surgery
1850A TOWN CENTER PKWY, SUITE 301
RESTON, VA 20190
Fairfax County (703) 709-9771
JESSICA MARMO RDN
Dietitian, Registered
1850A TOWN CENTER PKWY
RESTON, VA 20190
Fairfax County (703) 709-9771

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 John Valenti's NPI number?

The NPI number for John Valenti is 1831205186. It was assigned to this individual provider in the NPPES registry on August 21, 2006.

Where is John Valenti located?

John Valenti practices at 1850A Town Center Pkwy Suite 209, Reston, VA 20190. The listed phone number is (703) 437-5532.

What is John Valenti's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John Valenti enrolled in Medicare?

Yes. John Valenti 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 John Valenti's services?

According to the CMS Revalidation Reassignment List (October 2026 release), John Valenti reassigns Medicare benefits to Privia Medical Group, LLC (Arlington, VA). 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 John Valenti's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does John Valenti accept?

Health plans from Oscar Health list John Valenti 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 John Valenti affiliated with any hospitals?

According to CMS data, John Valenti is affiliated with Reston Hospital Center.

When was this NPI record last updated?

The NPPES record for John Valenti was last updated on September 23, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.