Rolando Valenzuela, M.D.
NPI 1275794885 · Emergency Medicine Physician · Stony Brook, NY
Enrolled with Medicare as Practitioner - Emergency Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rolando Valenzuela, M.D. is a Emergency Medicine Physician provider in Stony Brook, NY (NPI 1275794885).
Provider details
- NPI number
- 1275794885
- Entity type
- Individual
- Primary specialty
- Emergency Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- A121092 (CA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
- Emergency Medicine Physician207P00000X
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
18 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
96 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Emergency Department Visit With High Level of Medical Decision Making99285 | 50 | $199 |
| Emergency Department Visit With Moderate Level of Medical Decision Making99284 | 35 | $137 |
| Critical Care, First 30-74 Minutes99291 | 11 | $237 |
Typical Medicare-allowed amounts for these services range $137–$237 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Additional practice locations (1)
- 1611 Nw 12th Ave Dept ofMiami, FL 33136-1096Phone: (917) 439-1662
Registry dates
- Enumerated
- 2008-06-17
- Last updated
- 2023-01-13
- Certified
- 2023-01-13
Frequently asked questions
- What is Rolando Valenzuela's NPI number?
- Rolando Valenzuela's National Provider Identifier (NPI) is 1275794885, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rolando Valenzuela's specialty?
- Rolando Valenzuela is listed in the NPPES registry with a primary specialty of Emergency Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Rolando Valenzuela located?
- Rolando Valenzuela's practice location on file with NPPES is Hsc Level 4 Rm 080, Stony Brook, NY 11794.
- What is Rolando Valenzuela's phone number?
- The practice phone number listed in the NPPES registry for Rolando Valenzuela is (631) 444-2478.
- Does Rolando Valenzuela accept Medicare?
- Rolando Valenzuela is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rolando Valenzuela's NPI active?
- Yes — Rolando Valenzuela's NPI (1275794885) is active in the NPPES registry as of the last update on 2023-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.