1. Home
  2. Directory
  3. Hawaii
  4. Honolulu
  5. Psychiatry Neurology
  6. NPI Profile

DR. DOUGLAS VALENTA MD
NPI 1851553879
Psychiatry & Neurology - Vascular Neurology in Honolulu, HI

Active since June 30, 2008PECOS Enrolled
1888 KALAKAUA AVE APT 2904, HONOLULU, HI 96815(808) 366-1087 Get Directions Write a Review

NPPES record last updated: December 23, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 23, 2025, Jun 8, 2023, May 16, 2019 and 2 more (5 updates tracked since 2016).

About Dr. Douglas Valenta Md NPPES

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

DR. DOUGLAS VALENTA MD (NPI 1851553879) is an individual vascular neurology provider in Honolulu, Hawaii, licensed in Hawaii (15231) and active in the NPI registry since June 2008. He is enrolled in Medicare PECOS, is affiliated with Maui Memorial Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1851553879
Entity TypeIndividualMale
Primary Taxonomy2084V0102X
Provider Legal NameDR. DOUGLAS VALENTACredential: MD
Location Address1888 KALAKAUA AVE APT 2904Honolulu, HI 96815-1535
Mailing Address9110 College Pointe CtFort Myers, FL 33919-3244 · (239) 208-2212 · Fax (239) 208-3994
Phone(808) 366-1087
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateJune 30, 2008
Last NPPES UpdateDecember 23, 20255 updates tracked since enumeration
NPPES CertifiedDecember 23, 2025
✔ NPI 1851553879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Vascular NeurologyAllopathic & Osteopathic Physicians
Taxonomy Code2084V0102X
Licenses✔ Licensed in HI · 15231✔ Licensed in PA · MD476853
Definition
Vascular Neurology is a subspecialty in the evaluation, prevention, treatment and recovery from vascular diseases of the nervous system. This subspecialty includes the diagnosis and treatment of vascular events of arterial or venous origin from a large number of causes that affect the brain or spinal cord such as ischemic stroke, intracranial hemorrhage, spinal cord ischemia and spinal cord hemorrhage.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X · License C161297 (CA), MD176943 (OR), 4301116530 (MI), MD60694768 (WA), 29146 (NE), 298923 (NY), 58465 (TN), E-15186 (AR), 35.135089 (OH), 27787 (MS), 81707 (SC), MC-0054 (ID)
1888 KALAKAUA AVE APT 2904, Honolulu, HI 96815
Open in Google Maps ↗

Secondary Practice Locations 2

Location 17601 Southcrest PkwySouthaven, MS 38671-4739 · Phone (662) 772-4000 · Fax (662) 772-2111
Location 23 Hospital Dr Ste 206Lewisburg, PA 17837-9394 · Phone (570) 522-9771

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Antidote Health Plan of Ohio, Inc., Arkansas Blue Cross and Blue Shield, Cigna Healthcare 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. Douglas Valenta Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4688728181
PECOS Enrollment IDI20090818000671, I20200430001431, I20221010001173, I20230621000693, I20230628001925, I20230628002919, I20240326002032, I20251016000195
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

13

Medicare enrollment records show Douglas Valenta reassigns Medicare billing to 13 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Pali Momi Medical Center
9.4 mi
Multi-Specialty
98-1079 MOANALUA RD
Aiea, HI 96701
  • Reassigned Medicare billing, Hawaii enrollment
  • 134 clinicians in this Medicare group
NPI 1275588329 (808) 486-6000
Maui Health System A Kaiser Foundation Hospitals LLC
67 mi
Critical Access
628 SEVENTH STREET
Lana'i City, HI 96763
  • Reassigned Medicare billing, Hawaii enrollment
  • 138 clinicians in this Medicare group
NPI 1336501634 (808) 545-6411
Sutter Bay Medical Foundation
2,403 mi
Multi-Specialty
795 EL CAMINO REAL
Palo Alto, CA 94301
  • Reassigned Medicare billing, California enrollment
  • 4,479 clinicians in this Medicare group
NPI 1013950807 (650) 321-4121
First Choice Physician Partners
2,444 mi
Internal Medicine
77 CASA ST, SUITE 108
San Luis Obispo, CA 93405
  • Reassigned Medicare billing, California enrollment
  • 488 clinicians in this Medicare group
NPI 1043641103 (805) 541-6225
Legacy Salmon Creek Hospital
2,603 mi
Clinic/Center
2211 NE 139TH ST
Vancouver, WA 98686
  • Reassigned Medicare billing, Washington enrollment
  • 754 clinicians in this Medicare group
NPI 1356357784 (360) 487-2878
Baptist Memorial Medical Group Inc
4,182 mi
Internal Medicine
8970 WINCHESTER RD
Memphis, TN 38125
  • Reassigned Medicare billing, Arkansas, Mississippi and Tennessee enrollments
  • 95 clinicians in this Medicare group
NPI 1306089206 (901) 227-4068
Wellspan Medical Group
4,778 mi
Family Medicine
2 KEEFER DR
Mercersburg, PA 17236
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 3,080 clinicians in this Medicare group
NPI 1407568298 (717) 328-2119
Evangelical Medical Services Organization
4,813 mi
Urology
3 HOSPITAL DR STE 318
Lewisburg, PA 17837
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 303 clinicians in this Medicare group
NPI 1083412084 (570) 523-3290
Practice Associates Medical Group
4,943 mi
Internal Medicine
100 MADISON AVENUE, INTEROFFICE #68
Morristown, NJ 07960
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,699 clinicians in this Medicare group
NPI 1427016385 (844) 264-2250
East Post Road Medical Services PC
4,975 mi
Emergency Medicine
41 E POST RD
White Plains, NY 10601
  • Reassigned Medicare billing, New York enrollment
  • 479 clinicians in this Medicare group
NPI 1841767274 (914) 681-1210

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 7

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.

Telehealth consultation, emergency department or initial inpatient, typically 30 minutes communicating with the patient via telehealth G0425
A telehealth consultation is a remote medical service where a doctor assesses your health condition through a video call. In an emergency or initial inpatient scenario, this typically lasts for about 30 minutes. This method allows for prompt, efficient care without needing to be physically present in a healthcare facility.
160 services160 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
25 services24 patients
Emergency department visit for problem that may not require health care professional 99281
An Emergency Department visit for a mild problem involves seeking immediate medical attention for non-life-threatening conditions. These can include minor injuries, fevers, or persistent discomfort. Medical professionals will assess your condition, provide treatment, and may suggest follow-up care.
25 services25 patients
Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221
Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.
20 services20 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
14 services12 patients
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth G0426
A Telehealth consultation is a virtual medical appointment. In an emergency department or initial inpatient scenario, a healthcare professional interacts with you through a secured video call for about 50 minutes. It allows you to receive care without physically being in the hospital.
14 services14 patients

Hospital Affiliations CMS Care Compare 4

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

Maui Memorial Medical Center

Acute Care Hospitals · Wailuku, HI
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number120002
Location221 Mahalani StreetWailuku, HI 96793 · Maui County
Birthing friendly

Morristown Medical Center

Acute Care Hospitals · Morristown, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310015
Location100 Madison AveMorristown, NJ 07960 · Morris County
Emergency services Birthing friendly

Overlook Medical Center

Acute Care Hospitals · Summit, NJ
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310051
Location99 Beauvoir AvenueSummit, NJ 07901 · Union County
Emergency services Birthing friendly

White Plains Hospital Center

Acute Care Hospitals · White Plains, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330304
Location41 East Post R0adWhite Plains, NY 10601 · Westchester County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96815 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
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
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.

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 Douglas Valenta's NPI number?

The NPI number for Douglas Valenta is 1851553879. It was assigned to this individual provider in the NPPES registry on June 30, 2008.

Where is Douglas Valenta located?

Douglas Valenta practices at 1888 Kalakaua Ave Apt 2904, Honolulu, HI 96815. The listed phone number is (808) 366-1087.

What is Douglas Valenta's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Vascular Neurology, with taxonomy code 2084V0102X.

Is Douglas Valenta enrolled in Medicare?

Yes. Douglas Valenta is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Douglas Valenta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Douglas Valenta reassigns Medicare benefits to 13 organizations: Pali Momi Medical Center (Aiea, HI), Maui Health System A Kaiser Foundation Hospitals LLC (Lana'i City, HI), Sutter Bay Medical Foundation (Palo Alto, CA), First Choice Physician Partners (San Luis Obispo, CA), Legacy Salmon Creek Hospital (Vancouver, WA) and 8 more organizations, listed in the Medicare section above. 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 Douglas Valenta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Douglas Valenta accept?

Health plans from Antidote Health Plan of Ohio, Inc., Arkansas Blue Cross and Blue Shield, Cigna Healthcare, HMSA and Health Advantage and 3 other insurers list Douglas Valenta 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 Douglas Valenta affiliated with any hospitals?

According to CMS data, Douglas Valenta is affiliated with Maui Memorial Medical Center, Morristown Medical Center, Overlook Medical Center and White Plains Hospital Center.

When was this NPI record last updated?

The NPPES record for Douglas Valenta was last updated on December 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.