Carmelita Laarni Villegas Payos, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

13698 Issued in NV

Practice address

9065 S Pecos Rd Ste 190
Henderson, NV 89074-6605

Phone

(702) 888-3148

Fax

(702) 888-3158

NPI assigned

Oct 31, 2007

Sex

Female

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 1

Medicare fee-for-service enrollment

Enrolled in NV

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

State licenses

Interoperability endpoints

• Direct secure messaging: carmelita.villegas.payos.1@14940.direct.athenahealth.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.

• Bacchus PC

  • Family Medicine Physician
  • Henderson, NV
  • NPI 1134628480
  Medicare reassignment

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

{
    "created_epoch": "1193788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638230400000",
    "number": "1154500759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2370 CORPORATE CIR STE 300",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890747760",
            "telephone_number": "702-910-3950",
            "fax_number": "702-677-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9065 S PECOS RD STE 190",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890746605",
            "telephone_number": "702-888-3148",
            "fax_number": "702-888-3158"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2525 12th St SE Ste 260",
            "address_purpose": "LOCATION",
            "city": "Salem",
            "state": "OR",
            "postal_code": "973022282",
            "country_code": "US",
            "telephone_number": "971-701-9058",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5255 E Williams Cir Ste 3000",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857117407",
            "country_code": "US",
            "telephone_number": "520-392-8400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PAYOS",
        "first_name": "CARMELITA",
        "middle_name": "LAARNI VILLEGAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-31",
        "last_updated": "2021-11-30",
        "certification_date": "2020-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NV",
            "license": "13698",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1154500759",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Isis Payne
• Jessica Dawn Payne, OTR/L
• Kimmie Lynn Payne
• Madison Payne
• Tiffany De'Anna Payne
• Erica Payton
• Peter John Unabia Paz
• Suzanne Paz
• Pca Ventures, LLC
• Peak Mental Health, LLC

• Family Medicine Physician in Henderson, NV
• Providers in Henderson, NV by specialty
• Family Medicine Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; 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.