Individual provider Active NPI

Raul Sergio Villarreal Jr., M.D.

  • Allergy & Immunology Physician
  • Live Oak, TX
National Provider Identifier
1083008908
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
S4411 Issued in TX
Practice address
11515 Toepperwein Rd Ste 201
Live Oak, TX 78233-3166
Phone
(210) 646-6978
Fax
(855) 919-4370
NPI assigned
Mar 28, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology (Internal Medicine) Physician 207RA0201X S4411 TX
Allergy & Immunology Physician 207K00000X S4411 TX Primary

Addresses

Primary practice location

11515 Toepperwein Rd Ste 201
Live Oak, TX 78233-3166

Mailing address

11515 Toepperwein Rd Ste 201
Live Oak, TX 78233-3166
Phone (210) 646-6978

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200507000282 TX Practitioner - Allergy/Immunology 0941582209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
University of Texas Southwestern Medical School at Dallas, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Institute of San Antonio, P.a.Group PAC ID 9032252424, 4 clinicians

Practice addresses (Care Compare)

11515 Toepperwein Rd
Suite 201
Live Oak, TX 78233-3166
Phone (210) 646-6978

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S4411TXMDAllergy & Immunology (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Institute of San Antonio, P.a. CurrentSince Oct 31, 2025 Accepting new patients
McGaw Medical Center of Northwestern University Past Accepting new patients

Locations

11515 Toepperwein Rd
Ste 201
Live Oak, TX 78233
Phone (210) 646-6978

Interoperability endpoints

  • Direct secure messaging: raul.villarreal@allergysa.emadirect.md

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1427500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1083008908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11515 TOEPPERWEIN RD STE 201",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333166",
            "telephone_number": "210-646-6978",
            "fax_number": "855-919-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11515 TOEPPERWEIN RD STE 201",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333166",
            "telephone_number": "210-646-6978",
            "fax_number": "855-919-4370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "RAUL",
        "middle_name": "SERGIO",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-28",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RA0201X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Allergy & Immunology",
            "state": "TX",
            "license": "S4411",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "TX",
            "license": "S4411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.