NPIMap

Individual provider Active NPI

Paula Yanina Villarejo, MD

  • Internal Medicine Physician
  • Columbus, IN
National Provider Identifier
1144516642
Registry record updated Jul 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
125060367 Issued in IL
Practice address
4050 Central Ave
Columbus, IN 47203-1851
Phone
(812) 376-9427
Fax
(812) 378-6174
NPI assigned
Jun 22, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 17, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 07073927A IN
Internal Medicine Physician 207R00000X 125060367 IL Primary

Addresses

Primary practice location

4050 Central Ave
Columbus, IN 47203-1851

Mailing address

PO Box 775383
Chicago, IL 60677-5383
Phone (812) 375-3000

Other identifiers 2

IdentifierTypeStateIssuer
201257320MedicaidIN
000000983475OtherINANTHEM PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200713001323 OH Practitioner - Internal Medicine 1456579408 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth G LLCGroup PAC ID 0749222651, 294 clinicians
Oxford Physical Therapy and RehabilitationGroup PAC ID 0244232874, 432 clinicians

Practice addresses (Care Compare)

10495 Montgomery Rd
Suite 15
Cincinnati, OH 45242-4420
Phone (513) 936-8900

10506 B Montgomery Rd
Suite 407
Montgomery, OH 45242-4402
Phone (513) 793-2077

2001 Anderson Ferry Rd
Cincinnati, OH 45238-3325
Phone (513) 246-7000

7567 Central Parke Blvd
Mason, OH 45040-6852

Hospital & facility affiliations

  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Good Samaritan Hospital Hospital, Cincinnati, OH, CCN 360134

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125060367ILMDInternal Medicine Physician
07073927AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trihealth G LLC Internal Medicine CurrentSince Aug 3, 2020 Accepting new patients
Trihealth G, LLC CurrentSince Aug 3, 2020 Accepting new patients
Columbus Urgent Care Center Past Accepting new patients
Trihealth G LLC Internal Medicine Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

2001 Anderson Ferry Rd
Cincinnati, OH 45238
Phone (513) 922-1200

9070 Winton Rd
Cincinnati, OH 45231
Phone (513) 246-2750

4685 Forest Ave
Cincinnati, OH 45212
Phone (513) 853-4721

10495 Montgomery Rd
Ste 15
Montgomery, OH 45242
Phone (513) 936-8900

Interoperability endpoints

  • Direct secure messaging: pvillarejo314850@direct.trihealth.com

Organizations & group practices 6

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.

Hospital & facility affiliations 6

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

NPI Registry JSON

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563321600000",
    "number": "1144516642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 775383",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606775383",
            "telephone_number": "812-375-3000",
            "fax_number": "812-375-3477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4050 CENTRAL AVE",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472031851",
            "telephone_number": "812-376-9427",
            "fax_number": "812-378-6174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAREJO",
        "first_name": "PAULA",
        "middle_name": "YANINA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-22",
        "last_updated": "2019-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "07073927A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125060367",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201257320",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM PIN",
            "identifier": "000000983475",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

Verify at the official NPI Registry.