Mirko Villanueva, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

4301073838 Issued in MI

Practice address

1500 East Medical Center Dr
7TH Floor Med Inn
Ann Arbor, MI 48109-5845

Phone

(734) 936-9068

NPI assigned

Apr 25, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA, WA, GA, DE, IN, VA, OR, MT, NY, IL, CT, OH, NM, TX, SC15 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 15

Specialty

Internal Medicine

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Critical Care Physician of New York PCGroup PAC ID 4688825839, 43 clinicians

Hospitalist Medicine Physicians of New Mexico-TCG LLCGroup PAC ID 7810248218, 20 clinicians

Cogent Healthcare of Texas PAGroup PAC ID 8628076924, 113 clinicians

Critical Care Physicians of Illinois LLCGroup PAC ID 7012179294, 41 clinicians

Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians

Hospitalist Medicine Physicians of Idaho-TCG, PLLCGroup PAC ID 0345760849, 10 clinicians

Sound Physicians Intensivists of Georgia PCGroup PAC ID 5193138634, 20 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057
• Good Samaritan Regional HLTH Center Hospital, Mount Vernon, IL, CCN 140046
• Oak Valley Hospital District Hospital, Oakdale, CA, CCN 050067
• Franciscan Health Olympia & Chicago Heights Hospital, Olympia Fields, IL, CCN 140172
• St Joseph Regional Medical Center Hospital, Lewiston, ID, CCN 130003

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations (25 of 42)

Interoperability endpoints

• Direct secure messaging: mvillanueva2122035@direct.trinity-health.org
• Direct secure messaging: mirkovillanueva@hcpca.allscriptsdirect.net
• Direct secure messaging: mvillanueva359126@direct.wvuhsdirect.com
• Direct secure messaging: mvillanu@yourcarecommunity.org

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.

• Cogent Healthcare of Texas, PA

  • Internal Medicine Physician
  • Dallas, TX
  • NPI 1992722953
  Medicare reassignment Care Compare group NPD
• Critical Care Physician of New York PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Newburgh, NY
  • NPI 1316293954
  Medicare reassignment Care Compare group NPD
• Critical Care Physicians of Illinois LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Aurora, IL
  • NPI 1508134966

  IN

  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of Idaho-TCG, PLLC

  • Internal Medicine Physician
  • Lewiston, ID
  • NPI 1104305648
  Medicare reassignment Care Compare group NPD
• Hospitalist Medicine Physicians of New Mexico-TCG LLC

  • Critical Care Medicine (Internal Medicine) Physician
  • Las Cruces, NM
  • NPI 1376022822
  Medicare reassignment Care Compare group NPD
• Inpatient Specialists of California, PC

  • Internal Medicine Physician
  • San Bernardino, CA
  • NPI 1952792475
  Medicare reassignment Care Compare group NPD
• Sound Physicians Intensivists of Georgia PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Macon, GA
  • NPI 1376159590
  Medicare reassignment Care Compare group NPD
• Healthcare Partners Affiliates Medical Group

  • Internal Medicine Physician
  • Los Angeles, CA
  • NPI 1659312593
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Connecticut - TCS

  • Internal Medicine Physician
  • Manchester, CT
  • NPI 1831712256
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Delaware, PA

  • Critical Care Medicine (Internal Medicine) Physician
  • Wilmington, DE
  • NPI 1780951814
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Montana - Missoula PC

  • Critical Care Medicine (Internal Medicine) Physician
  • Missoula, MT
  • NPI 1841925203
  Medicare reassignment NPD
• Hospitalist Medicine Physicians of Ohio - Fairfield Professional Cor

  • Critical Care Medicine (Internal Medicine) Physician
  • Steubenville, OH
  • NPI 1447981303
  Medicare reassignment NPD

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

• Franciscan Health Olympia Fields

  • General Acute Care Hospital
  • Olympia Fields, IL
  • NPI 1588771919
  Care Compare affiliation
• Good Samaritan Regional Health Center

  • General Acute Care Hospital
  • Mount Vernon, IL
  • NPI 1609897339
  Care Compare affiliation
• Kaweah Delta Health Care District

  • General Acute Care Hospital
  • Visalia, CA
  • NPI 1588663769
  Care Compare affiliation
• Oak Valley Hospital District

  • General Acute Care Hospital
  • Oakdale, CA
  • NPI 1346381415
  Care Compare affiliation
• St Joseph Hospital LLC

  • Oxygen Equipment & Supplies (DME)
  • Lewiston, ID
  • NPI 1992231799

  Hospital

  Care Compare affiliation
• St. Joseph Hospital LLC

  • General Acute Care Hospital
  • Lewiston, ID
  • NPI 1225090954
  Care Compare affiliation

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

{
    "created_epoch": "1145923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1386720000000",
    "number": "1174589501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 S STATE ST",
            "address_2": "700 KMS PLACE",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48108",
            "telephone_number": "734-936-2047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 EAST MEDICAL CENTER DR",
            "address_2": "7TH FLOOR MED INN",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481095845",
            "telephone_number": "734-936-9068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "MIRKO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-25",
        "last_updated": "2013-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MS",
            "license": "17917",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301073838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03189816",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Aditi Ira Vijendra
• Annmarie Lyn Vilkins, D.O.
• Village Apothecary Inc
• Kathryn Ann Villal.P.N., L.P.N.
• Victoria Villanueva Guzman
• Roy Villareal, PARAMEDIC
• Rowena Jane Villarias, CNM
• Sally Villasenor, NP
• Fletcher Gregory Vilt, MD
• Kellie Vincent, LLMSW

• Internal Medicine Physician in Ann Arbor, MI
• Providers in Ann Arbor, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.