Josue J Villalta, MD

Primary specialty

Gynecology PhysicianTaxonomy code 207VG0400X

License

01029614A Issued in IN

Practice address

6920 Parkdale PL
Suite 100
Indianapolis, IN 46254-5612

Phone

(317) 329-7177

Fax

(317) 329-7180

NPI assigned

Oct 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

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.

• International Medical Surgical Center, LLC

  • Gynecology Physician
  • Indianapolis, IN
  • NPI 1417641606
  Medicare reassignment NPD Authorized official
• Kaeo Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Whiteland, IN
  • NPI 1578138095
  Medicare reassignment NPD
• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1144310244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 PARKDALE PL",
            "address_2": "SUITE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545612",
            "telephone_number": "317-329-7177",
            "fax_number": "317-329-7180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6920 PARKDALE PL",
            "address_2": "SUITE 100",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462545612",
            "telephone_number": "317-329-7177",
            "fax_number": "317-329-7180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALTA",
        "first_name": "JOSUE",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "IN",
            "license": "01029614A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000000093399",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lizbette Villa-Martinez
• Fernando Villa
• Jennifer Samantha Villa, MD
• Gay Dela Cruz Villaflor-Cordova, PHYSICAL THERAPIST
• Village of Merici, Inc.
• Joel Antonio Villamizar, MSN, FNP
• Cindy Tampus Villanueva
• Edith Villanueva
• Raymond Villanueva
• Nyria Carolina Villarreal, M.D.

• Gynecology Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Gynecology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.