Juan Mario Villafani, MD FACS

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

J9930 Issued in TX

Practice address

19701 Kingwood Dr
BLDG 9
Kingwood, TX 77339-3773

Phone

(281) 548-3555

Fax

(281) 548-3552

NPI assigned

Apr 21, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 4

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

Specialty

General Surgery

Education

University of Texas Southwestern Medical School at Dallas, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mehta Medical Group PLLCGroup PAC ID 0941236301, 25 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
• HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jmario.villafani.p1@direct.mphcc.nextgenshare.com

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.

• Mehta Medical Group PLLC

  • Internal Medicine Physician
  • Humble, TX
  • NPI 1780708321

  Surgery

  Medicare reassignment Care Compare group NPD
• Millennium Physicians Association, PLLC

  • Multi-Specialty Clinic/Center
  • The Woodlands, TX
  • NPI 1255397733

  Surgery

  Medicare reassignment NPD
• Millennium Physicians Association PLLC

  • Community/Retail Pharmacy
  • Kingwood, TX
  • NPI 1811385727
  NPD

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

• KPH-Consolidation, Inc.

  • General Acute Care Hospital
  • Kingwood, TX
  • NPI 1811942238
  Care Compare affiliation
• Memorial Hermann Health System

  • General Acute Care Hospital
  • Humble, TX
  • NPI 1295843787
  Care Compare affiliation

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493164800000",
    "number": "1104882992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22710 PROFESSIONAL DR",
            "address_2": "STE 102",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773396008",
            "telephone_number": "281-548-3555",
            "fax_number": "281-548-3552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19701 KINGWOOD DR",
            "address_2": "BLDG 9",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773393773",
            "telephone_number": "281-548-3555",
            "fax_number": "281-548-3552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAFANI",
        "first_name": "JUAN",
        "middle_name": "MARIO",
        "credential": "MD FACS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2017-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "J9930",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE PTAN",
            "identifier": "0019BY",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036316004",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP TPI- MILLENNIUM PHYSICIANS ASSOCIATION, PLLC",
            "identifier": "111815002",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1255397733",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deyanira Vezorak
• Vibrant Companion & Skilled Home Care, LLC
• Victor Lugo Miro MD PA
• Alisha Victoria
• Kali Vidrine
• Mayela G Villafuerte Marroquin, RN
• Village Learning Center, Inc
• Ayana Villanueva, RBT
• Susette Marie Villegas, LCSW
• Ashlyne Paige Vineyard, MAT, LAT, ATC

• Surgery Physician in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2017; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.