ALICIA VALDIVIEZO – Physician Assistant, NPI 1043662034

ALICIA VALDIVIEZO is a healthcare provider. based in San antonio, Texas. specializing in PHYSICIAN ASSISTANT. They hold a License No. PA11137 (TX). The NPI Number for ALICIA VALDIVIEZO is 1043662034

Main info

Female
Sole Proprietor
10 Years Of Experience
Accepts Medicare Assignment
Name
ALICIA VALDIVIEZO
NPI
1043662034
Phone
(210) 433-2334
Address
1511 Bandera Rd
Enumeration Date
1 July 2016
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4695132666
Graduation Year
2016 (10 years ago)
PAC ID
7517231814
Group Practice PAC ID
5597046672
Professional Enrollment ID
I20171018001096
Address ID
TX752373460DA3500XRDXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:9State licenses:1Digital endpointsOther names

8,491 PHYSICIAN ASSISTANT in TX

Provider Addresses for ALICIA VALDIVIEZO

  • 1511 Bandera Rd

    San Antonio, TX 782284006

    Phone: (210) 433-2334

    Fax: (210) 433-9171

    Type: Location

  • Forest Lane, Lake Highlands, Bethard, Garland, Dallas County, Texas, 75243, United States

    GARLAND, TX 750427996

    Phone: (975) 494-4494

    Fax: (972) 494-4450

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 79 Open Payments records for all available years, with a total value of $1,938.

Total Amount is formed as General ($1,938) + Research ($0) + Ownership ($0) = $1,938.

Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($346).

Total Amount

$1,938

General + Research + Ownership

Payments

79

Total payment records

General Amount

$1,938

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-09

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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: 2017-10-18

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20171018001096IPhysician AssistantTXTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes125110$0
93000Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report3837$0
99204New patient office or other outpatient visit, 45-59 minutes1818$0
View full utilization report →

Insurance plans in this area (ZIP 78228)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597046672View full group profile
NameSpecialtyState
Cardiovascular Disease (Cardiology), Interventional Cardiology, Peripheral Vascular DiseaseTX
-TX
Cardiovascular Disease (Cardiology)TX
Nurse PractitionerTX
Cardiovascular Disease (Cardiology)TX
Cardiovascular Disease (Cardiology)TX

Reviews

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Frequently asked questions

How do I look up ALICIA VALDIVIEZO by NPI?
Use NPI 1043662034 when you need to reference ALICIA VALDIVIEZO in forms, claims, or directories.
Does this profile mean ALICIA VALDIVIEZO is currently active?
Yes — ALICIA VALDIVIEZO appears active in the national provider directory.
What field does ALICIA VALDIVIEZO work in?
You can think of ALICIA VALDIVIEZO as practicing within Physician Assistant. Clinical services aligned with this taxonomy classification.
What location metadata exists for ALICIA VALDIVIEZO?
The page summarizes San Antonio, Texas for ALICIA VALDIVIEZO; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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