Individual provider Active NPI

Tatiana Villalobos, M.D.

  • Family Medicine Physician
  • Jamaica, NY
National Provider Identifier
1225482813
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
305804 Issued in NY
Practice address
133-03 Jamaica Avenue
Jamaica, NY 11418
Phone
(718) 206-6942
NPI assigned
Apr 20, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD.38474 AL
Hospitalist Physician 208M00000X MD.38474 AL
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X 305804 NY Primary

Addresses

Primary practice location

133-03 Jamaica Avenue
Jamaica, NY 11418

Mailing address

133-03 Jamaica Avenue
Jamaica, NY 11418
Phone (718) 206-6942

Other practice location 1

1874 Beltline Rd SW
Decatur, AL 35601-5514
Phone (256) 973-6000

Other practice location 2

380 Woods Cove Rd
Scottsboro, AL 35768-2428
Phone (256) 259-4444

Other practice location 3

1201 7th St SE
Decatur, AL 35601-3337
Phone (256) 973-2000

Other practice location 4

1912 Al Highway 157
Cullman, AL 35058-0609
Phone (256) 737-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, NY, TN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190910003638 AL Practitioner - Emergency Medicine 4880939115 Reassigns benefits to 2 organizations
I20201118000660 NY Practitioner - Family Practice 4880939115 Reassigns benefits to 2 organizations
I20220315000697 TN Practitioner - Emergency Medicine 4880939115 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2026
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Immh Scottsboro LLCGroup PAC ID 2567787344, 15 clinicians
Middle Tennessee Emergency Physicians, P.C.Group PAC ID 3678464526, 85 clinicians

Practice addresses (Care Compare)

380 Woods Cove Rd
Scottsboro, AL 35768-2428
Phone (240) 686-2300

520 W Main St
Smithville, TN 37166-1138
Phone (615) 215-5000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jamaica Hospital CurrentSince Oct 1, 2020 Accepting new patients
Island Medical Alabama LLC Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Immh Scottsboro LLC Emergency Medicine CurrentSince Aug 1, 2019 Accepting new patients
Kew Gardens Family Physicians, LLP Family Medicine CurrentSince Apr 6, 2021 Accepting new patients
Jamaica Hospital CurrentSince Oct 1, 2020 Accepting new patients
Middle Tennessee Emergency Physicians PC Emergency Medicine CurrentSince Mar 1, 2022 Accepting new patients
Havely Springs Emergency Group, PC Emergency Medicine CurrentSince Dec 10, 2023 Accepting new patients
TJH Medical Services, P.C. Family Medicine PastSince Apr 6, 2021 Accepting new patients

Locations

1912 AL Highway 157
Cullman, AL 35058
Phone (256) 737-2496

380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579

11940 Metropolitan Ave
Apt E1
Kew Gardens, NY 11415

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

2000 Church St
Nashville, TN 37236
Phone (615) 284-4672

520 W Main St
Smithville, TN 37166
Phone (615) 215-5000

100 Northcrest Dr
Springfield, TN 37172
Phone (615) 384-1531

324 Doolittle Rd
Woodbury, TN 37190
Phone (615) 563-4001

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1461110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1225482813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133-03 JAMAICA AVENUE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11418",
            "telephone_number": "718-206-6942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "133-03 JAMAICA AVENUE",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "11418",
            "telephone_number": "718-206-6942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1874 Beltline Rd SW",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356015514",
            "country_code": "US",
            "telephone_number": "256-973-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "380 Woods Cove Rd",
            "address_purpose": "LOCATION",
            "city": "Scottsboro",
            "state": "AL",
            "postal_code": "357682428",
            "country_code": "US",
            "telephone_number": "256-259-4444",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1201 7th St SE",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "AL",
            "postal_code": "356013337",
            "country_code": "US",
            "telephone_number": "256-973-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1912 Al Highway 157",
            "address_purpose": "LOCATION",
            "city": "Cullman",
            "state": "AL",
            "postal_code": "350580609",
            "country_code": "US",
            "telephone_number": "256-737-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLALOBOS",
        "first_name": "TATIANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-20",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "MD.38474",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "AL",
            "license": "MD.38474",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "305804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.