Felipe Villa Martignoni, MD
Individual provider Active NPI Internal Medicine Physician · Lubbock, TX
NPI 1104277946 · NPPES record last updated May 20, 2024
Key facts
- NPI
- 1104277946
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- MED-PHYS-LIC-70710 (MT)
- Practice address
- 7801 56TH St
Lubbock, TX 79407-1998 - Phone
- (406) 697-3646
- NPI assigned
- Jun 22, 2016
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Montana Medical Facilities Inc
Practice addresses (Care Compare)
408 Wendell Ave
Lewistown, MT 59457-2261
Phone (406) 535-7711
Hospital & facility affiliations
- Central Montana Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MT
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190607001599 | MT | Practitioner - Internal Medicine | 6103118385 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MED-PHYS-LIC-70710 | MT | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Montana Medical Facilities, Inc. | Internal Medicine | Current |
Accepting new patients |
| Central Montana Medical Facilities, Inc | Current |
Accepting new patients | |
| Central Montana Medical Facilities, Inc. | Current |
Accepting new patients |
Locations
408 Wendell Ave
Lewistown, MT 59457
Phone (406) 535-1502
Interoperability endpoints
- fvillamartignoni1@centralmontana.cernerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MED-PHYS-LIC-70710 | MT | Yes |
Addresses
Primary practice location
7801 56TH St
Lubbock, TX 79407-1998
Mailing address
408 Wendell Ave
Lewistown, MT 59457-2261
Phone (406) 535-7711
Other practice location 1
408 Wendell Ave
Lewistown, MT 59457-2261
Phone (406) 535-1502
Other providers in Lubbock, TX
- Bristyn D Vickers
- Sarah Elizabeth Victor
- Victory Spinal Care Lubbock LLC
- Gabriella Rae Vigil
- Myriam Elizabeth Vijil Mejia
- Joshua Ryan Villa
- Morgan Lynn Villa
- Ruben Dario Villa
- Caitlin Villareal
- Efrain Villareal Jr.
All providers in Lubbock, TX · Internal Medicine Physician in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 20, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.