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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ROBERT J VALENZUELA MD
NPI 1962400879
Urology in New York, NY

Active since July 13, 2005PECOS Enrolled
286 FORT WASHINGTON AVE, NEW YORK, NY 10032(212) 781-9697(212) 568-7138 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Robert J Valenzuela Md NPPES

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

ROBERT J VALENZUELA MD (NPI 1962400879) is an individual urology provider in New York, New York, licensed in New York (203681-1) and active in the NPI registry since July 2005. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai St Luke's Roosevelt Hospital, and is a graduate of Icahn School Of Medicine At Mount Sinai (1993).

NPPES Registry Identity

NPI1962400879
Entity TypeIndividualMale
Primary Taxonomy208800000X
Provider Legal NameROBERT J VALENZUELACredential: MD
Location Address286 FORT WASHINGTON AVENew York, NY 10032-1315
Mailing Address286 Fort Washington AveNew York, NY 10032-1315 · (212) 781-9697 · Fax (212) 568-7138
Phone(212) 781-9697
Fax(212) 568-7138
Sole ProprietorNo
Medical School CMSIcahn School Of Medicine At Mount SinaiGraduated 1993
Enumeration DateJuly 13, 2005
Last NPPES UpdateJuly 13, 2026
✔ NPI 1962400879 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
License✔ Licensed in NY · 203681-1
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
286 FORT WASHINGTON AVE, New York, NY 10032
Open in Google Maps ↗

Other Identifiers 1

Medicaid01873601NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Robert J Valenzuela 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 ID3274598685
PECOS Enrollment IDI20041124000821
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.

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
69 services57 patients
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.
64 services51 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.
54 services41 patients
Urinalysis, manual test 81002
A urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
36 services26 patients
Testosterone (hormone) level, total 84403
A total testosterone level test measures the amount of a key hormone in your body. This hormone influences various body functions such as muscle mass, energy levels, and mood. The test involves a simple blood draw, and results help monitor health conditions.
26 services22 patients
Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490
Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.
25 services13 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai St Luke's Roosevelt Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330046
Location1000 Tenth AvenueNew York, NY 10019 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10032 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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 6

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

NOCTURNAL SLEEP DIAGNOSTICS LLC
Clinic/Center (Sleep Disorder Diagnostic)
286 FORT WASHINGTON AVE, SUITE 1B
NEW YORK, NY 10032
New York County (718) 791-9649
NORTH SHORE HEMATOLOGY ONCOLOGY ASSOCIATES PC
Urology
286 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 781-9696
ANN M WOO, M.D.,P.C.
Obstetrics & Gynecology
286 FORT WASHINGTON AVE, SUITE 1 A
NEW YORK, NY 10032
New York County (212) 781-9696
WASHINGTON HEIGHTS UROLOGY
Urology
286 FORT WASHINGTON AVE
NEW YORK, NY 10032
New York County (212) 781-9696
123 MEDICAL GROUP, P.C.
Specialist
286 FORT WASHINGTON AVE, SUITE# 1G
NEW YORK, NY 10032
New York County (212) 543-1800
GLOBAL PSYCHIATRIC SERVICES, PC
Psychiatry & Neurology (Psychiatry)
286 FORT WASHINGTON AVE, SUITE 1I
NEW YORK, NY 10032
New York County (917) 557-1748

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 Robert Valenzuela's NPI number?

The NPI number for Robert Valenzuela is 1962400879. It was assigned to this individual provider in the NPPES registry on July 13, 2005.

Where is Robert Valenzuela located?

Robert Valenzuela practices at 286 Fort Washington Ave, New York, NY 10032. The listed phone number is (212) 781-9697.

What is Robert Valenzuela's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Is Robert Valenzuela enrolled in Medicare?

Yes. Robert Valenzuela 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.

Is Robert Valenzuela affiliated with any hospitals?

According to CMS data, Robert Valenzuela is affiliated with Mount Sinai St Luke's Roosevelt Hospital.

When was this NPI record last updated?

The NPPES record for Robert Valenzuela was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 32 days 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.