Individual provider Active NPI

Hugo A Villarreal, M.D.

  • Gastroenterology Physician
  • Saint Louis, MO
National Provider Identifier
1154418119
Registry record updated Nov 4, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
103770 Issued in MO
Practice address
13276 Manchester Rd
Saint Louis, MO 63131-1706
Phone
(314) 822-9733
Fax
(314) 822-9838
NPI assigned
Oct 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 4, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 103770 MO Primary
Gastroenterology Physician 207RG0100X 036-086874 IL

Addresses

Primary practice location

13276 Manchester Rd
Saint Louis, MO 63131-1706

Mailing address

13276 Manchester Rd
Saint Louis, MO 63131-1706
Phone (314) 822-9733

Other identifiers 16

IdentifierTypeStateIssuer
110214224OtherMORR MEDICARE MO AREA 99
132551OtherMOBCBS MO
04227854OtherILBCBS IL
41206V41207OtherMOGHP (ALL PLANS)
431907959OtherMOTRICARE
5173V22657OtherMSHEALTH CARE USA
951940001OtherMOMEDICARE99
288486OtherMOHEALTHLINK
F83209OtherMOMERCY (ALL PLANS)
2909029OtherMOUHC (ALL)
5104133OtherMOAETNA
100015334OtherMORR MEDICARE MO
208254003MedicaidMO
431907959OtherMOGREAT WEST
100015333OtherILRR MEDICARE IL
95286OtherMOEXCLUSIVE CHOICE (FMH)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080924000614 MO Practitioner - Gastroenterology 3274538699 Reassigns benefits to 2 organizations
I20081224000240 IL Practitioner - Gastroenterology 3274538699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Jersey Community HospitalGroup PAC ID 4587650445, 62 clinicians

Practice addresses (Care Compare)

1101 W Liberty St
Farmington, MO 63640-1921
Phone (314) 822-9733

1103 W Liberty St
Suite 3045
Farmington, MO 63640-1921
Phone (314) 822-9733

13276 Manchester Rd
Saint Louis, MO 63131-1706
Phone (314) 822-9733

300 Health Way
Potosi, MO 63664-1420

300 Health Way Dr
Potosi, MO 63664-1420
Phone 5734385451355

3015 N Ballas Rd
Saint Louis, MO 63131-2329
Phone (314) 822-9733

400 Maple Summit Rd
Jerseyville, IL 62052-2028
Phone (314) 822-9733

555 W Pine St
Farmington, MO 63640-1439
Phone (314) 822-9733

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
16.71 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
55.7

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy267
Upper gastrointestinal (GI) endoscopy for acid reflux409

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-086874ILMDGastroenterology Physician
103770MOMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington County Memorial Hospital Current Accepting new patients
Jersey Community Hospital CurrentSince Nov 1, 2025 Accepting new patients
Midwest Gastroenterology Consultants. P.C. Gastroenterology CurrentSince Jan 1, 2001 Accepting new patients
Jersey Community Hospital CurrentSince Nov 1, 2025 Accepting new patients
Midwest Gastroenterology Consultants, P.C. Gastroenterology CurrentSince Jul 1, 1996 Accepting new patients
Washington County Memorial Hospital Past Accepting new patients

Locations

400 Maple Summit Rd
Ste 300
Jerseyville, IL 62052
Phone (618) 498-8347

400 Maple Summit Rd
Jerseyville, IL 62052
Phone (618) 498-6402

1101 W Liberty St
Farmington, MO 63640
Phone (573) 705-1272

1103 W Liberty St
Ste 3045
Farmington, MO 63640

555 W Pine St
Farmington, MO 63640
Phone (573) 474-1510

300 Health Way Dr
Potosi, MO 63664
Phone (573) 438-2977

525 Couch Ave
Saint Louis, MO 63122
Phone (314) 317-9960

13276 Manchester Rd
Saint Louis, MO 63131
Phone (314) 822-0990

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f4be81d1-a15e-4e19-9601-5214010ddaac/
  • Direct secure messaging: hugo.villarreal.p1@direct.wcmh-clinics.nextgenshare.com
  • FHIR API: https://fhir-usa.unify.chbase.com/org/jersey-f23a6357

Organizations & group practices 7

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 5

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": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1154418119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13276 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311706",
            "telephone_number": "314-822-9733",
            "fax_number": "314-822-9838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13276 MANCHESTER RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631311706",
            "telephone_number": "314-822-9733",
            "fax_number": "314-822-9838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "HUGO",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "MO",
            "license": "103770",
            "primary": true
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036-086874",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE MO AREA 99",
            "identifier": "110214224",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  MO",
            "identifier": "132551",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "04227854",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP (ALL PLANS)",
            "identifier": "41206V41207",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "431907959",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH CARE USA",
            "identifier": "5173V22657",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE99",
            "identifier": "951940001",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "288486",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY (ALL PLANS)",
            "identifier": "F83209",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC (ALL)",
            "identifier": "2909029",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5104133",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE MO",
            "identifier": "100015334",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208254003",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT WEST",
            "identifier": "431907959",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE IL",
            "identifier": "100015333",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EXCLUSIVE CHOICE (FMH)",
            "identifier": "95286",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.