Active NPI
Juanita M Villalobos, MD
- Anesthesiology Physician
- Washington, DC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD21897
- Practice address
- 110 Irving St NW
Washington, DC 20010-2976 - Phone
- (301) 946-5100
- Fax
- (301) 929-0348
- NPI assigned
- Jul 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD21897 | DC | Primary |
Addresses
Primary practice location
110 Irving St NW
Washington, DC 20010-2976
Mailing address
11510 Georgia Ave
Suite 206
Wheaton, MD 20902-1925
Phone (301) 946-5100
Other identifiers 9
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01357 | Other | DC | NCPPO |
| 5705312 | Medicaid | VA | |
| 0092 | Other | DC | CAREFIRST BCBS |
| 7801057 | Other | DC | AETNA NON HMO |
| 022220900 | Medicaid | DC | |
| 2605958 | Other | DC | AETNA HMO |
| 200135 | Other | DC | KAISER |
| 441064 | Other | VA | ANTHEM BCBS |
| 185400300 | Medicaid | MD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- George Washington University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Kaiser Foundation Health Plan of the Mid Atlantic States, Inc
Practice addresses (Care Compare)
13285 Minnieville Rd
Woodbridge, VA 22192-4018
Phone (703) 986-2400
1701 Twin Springs Rd
Halethorpe, MD 21227-3553
Phone (410) 737-5000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD21897 | DC | MD | Anesthesiology Physician |
Practice roles
Locations
2021 K St NW
Ste T120
Washington, DC 20006
Phone (202) 775-0574
1145 19th St NW
Ste 311
Washington, DC 20036
Phone (202) 429-2401
3007 Tilden St NW
Ste 5N
Washington, DC 20008
110 Irving St NW
Washington, DC 20010
Phone (202) 877-2000
201 E University Pkwy
Baltimore, MD 21218
Phone (410) 554-2651
10215 Fernwood Rd
Ste 260
Bethesda, MD 20817
Phone (301) 530-2800
7503 Surratts Rd
Clinton, MD 20735
Phone (301) 868-8000
7070 Samuel Morse Dr
Columbia, MD 21046
Phone (410) 309-4600
1701 Twin Springs Rd
Halethorpe, MD 21227
Phone (410) 737-5000
4000 Garden City Dr
Fl 4
Hyattsville, MD 20785
Phone (227) 229-8532
10810 Connecticut Ave
Kensington, MD 20895
Phone (301) 929-7100
1221 Mercantile Ln
Fl 3
Largo, MD 20774
Phone (301) 618-5500
655 Watkins Mill Rd
Montgomery Village, MD 20879
Phone (301) 929-7100
6100 Executive Blvd
Ste 300
Rockville, MD 20852
Phone (301) 530-2800
2101 E Jefferson St
Ste 4EAST
Rockville, MD 20852
2101 E Jefferson St
Ste 4EPFS
Rockville, MD 20852
2101 E Jefferson St
#4E
Rockville, MD 20852
2391 Greenspring Dr
Timonium, MD 21093
Phone (410) 847-3000
2118 Greenspring Dr
Timonium, MD 21093
Phone (410) 252-5671
6701 N Charles St
Towson, MD 21204
Phone (443) 849-2000
1221 Mercantile Ln
Upper Marlboro, MD 20774
Phone (301) 618-5500
8008 Westpark Dr
Tysons Corner, VA 22102
Phone (703) 287-6400
14139 Potomac Mills Rd
Woodbridge, VA 22192
Phone (703) 257-3000
13285 Minnieville Rd
Woodbridge, VA 22192
Phone (703) 986-2400
Organizations & group practices 18
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.
-
- Health Maintenance Organization
- Halethorpe, MD
- NPI 1043378656
-
dba Tysons Corner Medical Center Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- McLean, VA
- NPI 1073678637
DC
-
dba Kaiser Permanente Caton Hill Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Woodbridge, VA
- NPI 1114677572
-
dba Kaiser Permanente Largo Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Largo, MD
- NPI 1366781700
DC
-
dba Kaiser Permanente Lutherville-Timonium Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Timonium, MD
- NPI 1457023616
-
dba Kaiser Permanente Gaithersburg Medical Center Ambulatory Surgery Ctr
- Ambulatory Surgical Clinic/Center
- Gaithersburg, MD
- NPI 1497023188
DC
-
dba Kensington Ambulatory Surgery Center
- Ambulatory Surgical Clinic/Center
- Kensington, MD
- NPI 1578638425
DC
-
dba Kaiser Permanente Loudoun Medical Center
- Health Maintenance Organization
- Lansdowne, VA
- NPI 1861552721
-
dba So. Baltimore County ASC
- Ambulatory Surgical Clinic/Center
- Halethorpe, MD
- NPI 1942546486
-
dba Kaiser Permanente Annapolis Medical Center
- Health Maintenance Organization
- Annapolis, MD
- NPI 1952461816
DC
-
dba MMG Anesthesiology LLC
- Anesthesiology Physician
- Baltimore, MD
- NPI 1528578333
DC
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736726400000",
"number": "1215953831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11510 GEORGIA AVE",
"address_2": "SUITE 206",
"city": "WHEATON",
"state": "MD",
"postal_code": "209021925",
"telephone_number": "301-946-5100",
"fax_number": "301-929-0348"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 IRVING ST NW",
"city": "WASHINGTON",
"state": "DC",
"postal_code": "200102976",
"telephone_number": "301-946-5100",
"fax_number": "301-929-0348"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLALOBOS",
"first_name": "JUANITA",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-15",
"last_updated": "2025-01-13",
"certification_date": "2025-01-13",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "DC",
"license": "MD21897",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NCPPO",
"identifier": "01357",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5705312",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAREFIRST BCBS",
"identifier": "0092",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA NON HMO",
"identifier": "7801057",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "022220900",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA HMO",
"identifier": "2605958",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KAISER",
"identifier": "200135",
"state": "DC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "441064",
"state": "VA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "185400300",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "https://careepiceast.kp.org:14430/Interconnect-prodmam/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ceq",
"affiliation": "N",
"endpointDescription": "Carequality",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"address_1": "110 Irving St NW",
"city": "Washington",
"state": "DC",
"country_code": "US",
"postal_code": "200102976",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Washington, DC
- Jordan Carolina Villa Martinez, M.D
- Natasha Villada, OTR/L
- Belkis Maria Villafana, HHA
- Village Academy of Washington DC (Village Academy of Washington, DC D/B/A New Visions Academy of PG Coun)
- Jacqueline Villalabos
- Cesar Arnoldo Villalta Umana
- Sandra Maritza Villalta Umana
- Erick Jamie Villalta Jr.
- Omar Villalta
- Rosalia Esmeralda Villalta I
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2025; 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.