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LUIS VALENCIA M.D.
NPI 1871501957
Pediatrics in Rio Grande City, TX

Active since August 04, 2006PECOS Enrolled
131 N FM 3167 STE D, RIO GRANDE CITY, TX 78582(956) 317-1126(956) 317-1026 Get Directions Write a Review

NPPES record last updated: August 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 29, 2022, Mar 8, 2022, Feb 8, 2022 and 3 more (6 updates tracked since 2020).

About Luis Valencia M.d. NPPES

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

LUIS VALENCIA M.D. (NPI 1871501957) is an individual pediatrics provider in Rio Grande City, Texas, licensed in Texas (L2722) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1871501957
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameLUIS VALENCIACredential: M.D.
Location Address131 N FM 3167 STE DRio Grande City, TX 78582-7009
Mailing Address131 N Fm 3167 Ste DRio Grande City, TX 78582-7009 · (956) 317-1126 · Fax (956) 317-1026
Phone(956) 317-1126
Fax(956) 317-1026
Sole ProprietorNo
Enumeration DateAugust 4, 2006
Last NPPES UpdateAugust 29, 20226 updates tracked since enumeration
NPPES CertifiedAugust 29, 2022
✔ NPI 1871501957 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in TX · L2722✔ Licensed in VA · 0101276376
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.
Also ListedHospitalistTaxonomy 208M00000X · License L2722 (TX)
131 N FM 3167 STE D, Rio Grande City, TX 78582
Open in Google Maps ↗

Secondary Practice Locations 3

Location 12542 Central Palm Dr Ste 207Rio Grande City, TX 78582-6766 · Phone (956) 352-1344 · Fax (956) 352-1344
Location 24845 Alameda AveEl Paso, TX 79905-2705 · Phone (915) 215-5700 · Fax (915) 215-8872
Location 34815 Alameda AveEl Paso, TX 79905-2705 · Phone (915) 215-5700 · Fax (915) 215-8872

Other Identifiers 1

Medicaid145038902TX

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Luis Valencia 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 78582 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
$84.92 typical visit price
range $54.84 – $166.88
Typical copayment $21.23 (range $13.71 – $41.72)
Most-billed visit code 99203
Established Patient
$97.05 typical visit price
range $17.52 – $136.11
Typical copayment $24.26 (range $4.38 – $34.02)
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 2

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

LUIS VALENCIA MD PA
Pediatrics
131 N FM 3167 STE D
RIO GRANDE CITY, TX 78582
Starr County (956) 317-1126
LUIS VALENCIA MD PA
Clinic/Center (Rural Health)
131 N FM 3167 STE D
RIO GRANDE CITY, TX 78582
Starr County (956) 317-1126

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 Luis Valencia's NPI number?

The NPI number for Luis Valencia is 1871501957. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Luis Valencia located?

Luis Valencia practices at 131 N Fm 3167 Ste D, Rio Grande City, TX 78582. The listed phone number is (956) 317-1126.

What is Luis Valencia's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Luis Valencia enrolled in Medicare?

Yes. Luis Valencia is registered in the Medicare PECOS enrollment system.

What insurance does Luis Valencia accept?

Health plans from Ambetter from Arizona Complete Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Luis Valencia 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 Luis Valencia was last updated on August 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.