Individual provider Active NPI

Adriana Maria Villa, M.D

  • Dermatology Physician
  • Miami, FL
National Provider Identifier
1114137809
Registry record updated May 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME 101671 Issued in FL
Practice address
3661 S Miami Ave Ste 306
Miami, FL 33133-4232
Phone
(305) 606-2924
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X ME 101671 FL Primary

Addresses

Primary practice location

3661 S Miami Ave Ste 306
Miami, FL 33133-4232

Mailing address

3900 Park Ave
Miami, FL 33133-6436
Phone (305) 606-2924

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adriana.villa@vd.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100608000282 FL Practitioner - Dermatology 7618007287 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vitalmd Group Holding LLCGroup PAC ID 8921091786, 535 clinicians

Practice addresses (Care Compare)

2520 S Dixie Hwy
Villa Dermatology
Miami, FL 33133-3137
Phone (305) 857-3517

3225 Aviation Ave
Suite 700
Miami, FL 33133-4741
Phone (305) 273-4641

3661 S Miami Ave
Miami, FL 33133-4214

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions80
Skin biopsy75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 101671FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vitalmd Group Holding LLC Dermatology CurrentSince Nov 1, 2017 Accepting new patients
Susana Leal-Khouri, Mdpa Dermatology PastSince Sep 1, 1999 Accepting new patients

Locations

3225 Aviation Ave
Ste 700
Miami, FL 33133
Phone (305) 273-4641

3661 S Miami Ave
Ste 306
Miami, FL 33133
Phone (305) 285-0726

2520 S Dixie Hwy
Miami, FL 33133
Phone (305) 857-3517

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BGEHBD/Endpoint/BGEHBD

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1114137809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3900 PARK AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331336436",
            "telephone_number": "305-606-2924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE STE 306",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334232",
            "telephone_number": "305-606-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA",
        "first_name": "ADRIANA",
        "middle_name": "MARIA",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME 101671",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adriana.villa@vd.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "3900 Park Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331336436",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.