Dr Robert T Valenzuela, MD - Medicare Hospitalist in Albuquerque, NM

Dr Robert T Valenzuela, MD is a medicare enrolled "Hospitalist" physician in Albuquerque, New Mexico. His current practice location is 500 Walter St Ne Ste 401, Albuquerque, New Mexico. You can reach out to his office (for appointments etc.) via phone at (505) 262-3542.

Dr Robert T Valenzuela is licensed to practice in New Mexico (license number MD2009-0002) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1699776492.

Contact Information

Dr Robert T Valenzuela, MD
500 Walter St Ne Ste 401,
Albuquerque, NM 87102-2563
(505) 262-3542
(505) 262-7394

Map and Direction




Physician's Profile

Full NameDr Robert T Valenzuela
GenderMale
SpecialityHospitalist
Location500 Walter St Ne Ste 401, Albuquerque, New Mexico
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1699776492
  • Provider Enumeration Date: 08/03/2005
  • Last Update Date: 06/12/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 6608933031
  • Enrollment ID: I20090330000203

Medical Identifiers

Medical identifiers for Dr Robert T Valenzuela such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1699776492NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine MD2009-0002 (New Mexico)Secondary
208M00000XHospitalist MD2009-0002 (New Mexico)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Robert T Valenzuela allows following entities to bill medicare on his behalf.
Entity NameUnm Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1831218627
PECOS PAC ID: 4981795267
Enrollment ID: O20070801000589
Entity NameHospitalist Medicine Physicians Of Texas Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1629307095
PECOS PAC ID: 3476688318
Enrollment ID: O20151019001400
Entity NameCogent Healthcare Of Texas Pa
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1992722953
PECOS PAC ID: 8628076924
Enrollment ID: O20210216003259

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Robert T Valenzuela is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Robert T Valenzuela, MD
5400 Gibson Blvd Se,
Albuquerque, NM 87108-4729

Ph: (505) 262-7960
Dr Robert T Valenzuela, MD
500 Walter St Ne Ste 401,
Albuquerque, NM 87102-2563

Ph: (505) 262-3542

Reviews and Comments


Hospitalist Doctors in Albuquerque, NM

Dr. Jens Oldrich Langsjoen,
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: University Of New Mexico, 1 University Of New Mexico Msc 5550, Albuquerque, NM 87131
Phone: 505-951-0740    
Kristen D Faith, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 601 Dr Martin Luther King Jr Ave Ne, Hospitalist Department, Albuquerque, NM 87102
Phone: 505-727-8000    
Jill A Slominski, MD
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 1100 Central Ave Se Fl 4b, Pmg Hospitalists, Albuquerque, NM 87106
Phone: 505-724-6124    Fax: 505-724-6125
Payal Urvij Modhia, M.D.
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 1100 Central Ave Se Fl 4, Pmg Hospitalist, Albuquerque, NM 87106
Phone: 505-724-6124    Fax: 505-724-6125
Dr. Mark Danforth Lacy, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: Dept Internal Medicine 1 University Nm Msc 10-5550, Albuquerque, NM 87131
Phone: 505-272-1670    Fax: 505-272-4435
Janet L Blanchard, MD
Hospitalist
Medicare: Accepting Medicare Assignments
Practice Location: 601 Dr Martin Luther King Jr Ave Ne, Albuquerque, NM 87102
Phone: 505-727-8360    Fax: 505-727-8768
Cynthia L Rossi, MD
Hospitalist
Medicare: Medicare Enrolled
Practice Location: 1100 Central Ave Se Fl 4b, Pmg Hospitalists, Albuquerque, NM 87106
Phone: 505-724-6124    Fax: 505-724-6125

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.