Leo D Villaroman, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

N1208 Issued in TX

Practice address

39769 LBJ Fwy
Dallas, TX 75237-3560

Phone

(972) 780-0802

Fax

(972) 780-7134

NPI assigned

Dec 10, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Big Bend Medical Group

  • Surgery Physician
  • Big Spring, TX
  • NPI 1811973282

  Family Medicine

  Medicare reassignment NPD
• Midland Emergency Managers PLLC

  • Emergency Medicine Physician
  • Midland, TX
  • NPI 1720673122
  Medicare reassignment NPD
• Leo Villaroman, MD, PA

  • Primary Care Clinic/Center
  • Midland, TX
  • NPI 1134830144
  NPD Authorized official
• Big Bend Medical Group

  • Rural Health Clinic/Center
  • Big Spring, TX
  • NPI 1790592004
  NPD
• Lea Emergency Group LLC

  • Emergency Medicine Physician
  • Hobbs, NM
  • NPI 1063521938
  NPD (past)

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

{
    "created_epoch": "1197244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1073796330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 E STATE HIGHWAY 121 STE 600",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750197942",
            "telephone_number": "972-745-7500",
            "fax_number": "972-745-4336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39769 LBJ FWY",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373560",
            "telephone_number": "972-780-0802",
            "fax_number": "972-780-7134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "501 Golder Ave",
            "address_2": "Suite 203",
            "address_purpose": "LOCATION",
            "city": "Odessa",
            "state": "TX",
            "postal_code": "797614411",
            "country_code": "US",
            "telephone_number": "432-617-8317",
            "fax_number": "432-339-9275",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLAROMAN",
        "first_name": "LEO",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-12-10",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "BP10022497",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "N1208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Julio Ignacio Villanueva, CRNA
• Kyle Clifton Villanueva, LBSW
• Ruben David Villanueva, PHARMD.
• Astrud Villareal
• Diana Jean Cajucom Villaroman, FNP-C
• Daniel Villarreal Acha, MS
• Alivia Villarreal
• Daniel Villarreal, PA-C
• Evangelina Villarreal, LPC
• Macy T Villarreal, CRNA

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.