RICARDO LUIS VALDIVIA MD
NPI 1841257797
Family Medicine in Kinston, NC
About Ricardo Luis Valdivia Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
RICARDO LUIS VALDIVIA MD (NPI 1841257797) is an individual family medicine provider in Kinston, North Carolina, licensed in North Carolina (2006-00229) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Rocky Point, and is a graduate of Other (1992).
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 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
Ricardo Luis Valdivia 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
2Medicare enrollment records show Ricardo Valdivia reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Kinston, NC 28501
- Reassigned Medicare billing, North Carolina enrollment
- 16 clinicians in this Medicare group
Rocky Point, NC 28457
- Reassigned Medicare billing, North Carolina enrollment
- Medicare enrollment name: San Martin PLLC
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 28501 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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.
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 Ricardo Valdivia's NPI number?
The NPI number for Ricardo Valdivia is 1841257797. It was assigned to this individual provider in the NPPES registry on April 26, 2006.
Where is Ricardo Valdivia located?
Ricardo Valdivia practices at 324 N Queen St, Kinston, NC 28501. The listed phone number is (252) 522-9800.
What is Ricardo Valdivia's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Ricardo Valdivia enrolled in Medicare?
Yes. Ricardo Valdivia 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 Ricardo Valdivia's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Ricardo Valdivia reassigns Medicare benefits to 2 organizations: Kinston Community Health Center, Inc (Kinston, NC) and San Martin Medical , PLLC (Rocky Point, NC). 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 Ricardo Valdivia's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Ricardo Valdivia accept?
Health plans from Cigna Healthcare and UnitedHealthcare list Ricardo Valdivia 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 Ricardo Valdivia was last updated on April 4, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Ricardo Luis Valdivia, MD · NPI 1841257797
Family Medicine physician in Kinston, North Carolina. Individual provider, active in the CMS NPPES registry since April 26, 2006.
## Identity
- **NPI:** 1841257797 (Entity type: Individual)
- **Enumerated:** April 26, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 2006-00229 (North Carolina)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 324 N QUEEN ST, Kinston, NC 28501-4932
- **Phone:** (252) 522-9800 · **Fax:** (252) 523-9790
## 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:** 2 organizations under Medicare reassignment (form CMS-855R): Kinston Community Health Center, Inc (NPI 1104859313, Kinston, NC); San Martin Medical , PLLC (NPI 1992093546, Rocky Point, NC) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1992
## Record status
- **NPPES last updated:** April 4, 2024
- **Other identifiers:** Medicaid 5904242 (NC)
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Source: [NPI Profile](https://npiprofile.com/npi/1841257797) · Data from the CMS NPPES public registry.