NPIMap

Individual provider Active NPI

Edward Robert Villella II, M.D.

  • Vascular Surgery Physician
  • Beaver, PA
National Provider Identifier
1033415732
Registry record updated Apr 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
MD443921 Issued in PA
Practice address
1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone
(724) 773-8289
Fax
(724) 773-4532
NPI assigned
Jan 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 22, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MT-194653 PA
Surgery Physician 208600000X MD443921 PA
Vascular Surgery Physician 2086S0129X MD443921 PA Primary

Addresses

Primary practice location

1000 Dutch Ridge Rd
Beaver, PA 15009-9727

Mailing address

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 773-8289

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160822001793 PA Practitioner - General Surgery 6507169638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Jefferson Medical College of Thomas Jefferson University, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heritage Valley Multispecialty Group IncGroup PAC ID 0042105678, 229 clinicians

Practice addresses (Care Compare)

1000 Dutch Ridge Rd
Beaver, PA 15009-9727
Phone (724) 773-6403

500 Sharon Rd
Beaver, PA 15009-1957
Phone (724) 728-8751

720 Blackburn Rd
Sewickley, PA 15143-1459
Phone (412) 749-7127

Hospital & facility affiliations

  • Heritage Valley Beaver Hospital, Beaver, PA, CCN 390036
  • Heritage Valley Sewickley Hospital, Sewickley, PA, CCN 390037

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)15
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD443921PAMDSurgery Physician
MT-194653PAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Valley Multispecialty Group, Inc. Surgery CurrentSince Aug 1, 2016 Accepting new patients
Heritage Valley Multispecialty Group, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Heritage Valley Medical Group, Inc. Past Accepting new patients

Locations

500 Sharon Rd
Beaver, PA 15009
Phone (724) 728-7683

1000 Dutch Ridge Rd
Beaver, PA 15009
Phone (724) 728-7000

2 Peartree Way
Beaver, PA 15009
Phone (724) 773-6802

Interoperability endpoints

  • Direct secure messaging: edwardvillella@hvhs.allscriptsdirect.net

Organizations & group practices 3

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

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1296172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555891200000",
    "number": "1033415732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 DUTCH RIDGE RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099727",
            "telephone_number": "724-773-8289",
            "fax_number": "724-773-4532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 DUTCH RIDGE RD",
            "city": "BEAVER",
            "state": "PA",
            "postal_code": "150099727",
            "telephone_number": "724-773-8289",
            "fax_number": "724-773-4532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLELLA",
        "first_name": "EDWARD",
        "middle_name": "ROBERT",
        "name_suffix": "II",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-28",
        "last_updated": "2019-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MT-194653",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "PA",
            "license": "MD443921",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD443921",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Beaver, PA

Sources for this page

Verify at the official NPI Registry.