Individual provider Active NPI

Blas Edward Villa, AGACNP

  • Gerontology Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1063053072
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
AP142810 Issued in TX
Practice address
2833 Babcock Rd Ste 100
San Antonio, TX 78229-4894
Phone
(210) 271-0606
Fax
(210) 853-2707
NPI assigned
Oct 1, 2019
Last updated
Jul 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X AP142810 TX
Gerontology Nurse Practitioner 363LG0600X AP142810 TX Primary

Addresses

Primary practice location

2833 Babcock Rd Ste 100
San Antonio, TX 78229-4894

Mailing address

7703 Floyd Curl Dr
San Antonio, TX 78229-3901
Phone (325) 226-2770

Other practice location 1

7703 Floyd Curl Drive MC 7885 Pulmonary Diseases & Crit
Medicine
San Antonio, TX 78229
Phone (210) 567-5792

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191031002538 TX Practitioner - Nurse Practitioner 6103158712 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4502 Medical Dr
San Antonio, TX 78229-4402
Phone (210) 358-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.98 of 100Reported as group
Quality
66.51
Promoting interoperability
98
Improvement activities
40
Cost
71.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Digestive Disease Consultants, PLLC Current Accepting new patients
Texas Digestive Disease Consultants PLLC CurrentSince Sep 20, 2021 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Oct 28, 2019 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Oct 28, 2019 Accepting new patients
Texas Digestive Disease Consultants, PLLC CurrentSince Sep 20, 2021 Accepting new patients
University of Texas Health Science Center at San Antonio Current Accepting new patients

Locations

5425 W Spring Creek Pkwy
Ste 205
Plano, TX 75024
Phone (972) 526-5860

2833 Babcock Rd
Ste 100
San Antonio, TX 78229
Phone (210) 293-4400

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

7703 Floyd Curl Dr
#7885
San Antonio, TX 78229
Phone (210) 567-5792

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1569888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1784505600000",
    "number": "1063053072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7703 FLOYD CURL DR",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782293901",
            "telephone_number": "325-226-2770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2833 BABCOCK RD STE 100",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782294894",
            "telephone_number": "210-271-0606",
            "fax_number": "210-853-2707"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7703 Floyd Curl Drive MC 7885 Pulmonary Diseases & Crit",
            "address_2": "Medicine",
            "address_purpose": "LOCATION",
            "city": "San Antonio",
            "state": "TX",
            "postal_code": "78229",
            "country_code": "US",
            "telephone_number": "210-567-5792",
            "fax_number": "210-949-3006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLA",
        "first_name": "BLAS",
        "middle_name": "EDWARD",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-01",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "TX",
            "license": "AP142810",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "TX",
            "license": "AP142810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.