MRS. ATHENA LARDIZABAL VALENCIA (M.D.) – Family Medicine Physician, NPI 1063631240
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
12,368 INTERNAL MEDICINE in FL
Provider Addresses for MRS. ATHENA LARDIZABAL VALENCIA (M.D.)
20360 Gator Ln Bldg 14
Land O Lakes, FL 346382802
Phone: (813) 346-3400
Fax: (813) 346-3491
Type: Location
2726 Windguard Cir
Wesley Chapel, FL 335447361
Phone: (813) 999-0505
Fax: (813) 701-9450
Type: Location
33853 State Road 54 Ste 102
Zephyrhills, FL 335439105
Phone: (813) 999-0505
Fax: (813) 701-9450
Type: Location
4051 UPPER CREEK DR
SUITE 111
SUN CITY CENTER, FL 335736825
Phone: (813) 634-3323
Fax: (813) 634-4764
Type: Mailing
413 W ROBERTSON ST
UNIT B
BRANDON, FL 335115014
Phone: (813) 657-4711
Fax: (813) 685-8353
Type: Location
2236 GREEN HEDGES WAY
WESLEY CHAPEL, FL 335448189
Phone: (813) 999-0505
Fax: (813) 701-9450
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2005-06-04
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050604000018 | I | Internal Medicine | FL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 34638)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | FL |
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