Individual provider Active NPI

Patricio T Villarreal, MD

  • Emergency Medicine Physician
  • Jourdanton, TX
National Provider Identifier
1033199542
Registry record updated Mar 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
J0336 Issued in TX
Practice address
1905 Highway 97 E
Emergency Room
Jourdanton, TX 78026-1504
Phone
(830) 769-5204
Fax
(830) 769-5206
NPI assigned
Jan 19, 2006
Last updated
Mar 10, 2011By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X J0336 TX Primary

Addresses

Primary practice location

1905 Highway 97 E
Emergency Room
Jourdanton, TX 78026-1504

Mailing address

2310 E Highway 97
Pleasanton, TX 78064-6516
Phone (830) 281-2868

Other identifiers 2

IdentifierTypeStateIssuer
139610305MedicaidTX
0083GGOtherTXBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
J0336TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rajeev Sareen, MD Past Accepting new patients
Atascosa Urgent Care Medical Clinic PA PastSince May 19, 2012 Accepting new patients
Step Emergency Physicians Emergency Medicine Past Accepting new patients
Alejandra Moreno MD PA Past Accepting new patients
Atascosa Emergency Medicine Associates PA Emergency Medicine Past Accepting new patients

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299715200000",
    "number": "1033199542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2310 E HIGHWAY 97",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780646516",
            "telephone_number": "830-281-2868",
            "fax_number": "830-281-8521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1905 HIGHWAY 97 E",
            "address_2": "EMERGENCY ROOM",
            "city": "JOURDANTON",
            "state": "TX",
            "postal_code": "780261504",
            "telephone_number": "830-769-5204",
            "fax_number": "830-769-5206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "PATRICIO",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-19",
        "last_updated": "2011-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "J0336",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "139610305",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "0083GG",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jourdanton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.