Individual provider Active NPI

Kathleen M Villarreal, M.D.

  • Internal Medicine Physician
  • Chillicothe, OH
National Provider Identifier
1255334058
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35.0772266 Issued in OH
Practice address
626 Central Ctr
Chillicothe, OH 45601-2248
Phone
(740) 779-4060
Fax
(740) 779-4069
NPI assigned
May 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.0772266 OH Primary

Addresses

Primary practice location

626 Central Ctr
Chillicothe, OH 45601-2248

Mailing address

272 Hospital Rd Ste 6
Chillicothe, OH 45601-9031
Phone (740) 779-4222

Other identifiers 1

IdentifierTypeStateIssuer
2024704MedicaidOH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address adena.fam.med.chillicothe@adena.medicity.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20060220000075 OH Practitioner - Pediatric MedicinePractitioner - Internal Medicine 6002821691 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Internal Medicine
Education
University of Toledo College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adena Medical Group LLCGroup PAC ID 1153456579, 384 clinicians

Practice addresses (Care Compare)

110 Vaugh Lane
Suite 20
Chillicothe, OH 45601
Phone (740) 779-7201

311 Caldwell St
Chillicothe, OH 45601-3332
Phone (740) 775-6119

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35.0772266OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adena Medical Group LLC Internal Medicine CurrentSince Feb 24, 2010 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

272 Hospital Rd
Ste 6
Chillicothe, OH 45601

4437 State Route 159
Ste 125
Chillicothe, OH 45601
Phone (740) 779-4570

311 Caldwell St
Chillicothe, OH 45601
Phone (740) 775-6119

4439 State Route 159
Ste 130
Chillicothe, OH 45601
Phone (740) 779-4360

272 Hospital Rd
Ste 3
Chillicothe, OH 45601
Phone (740) 779-8234

626 Central Ctr
Chillicothe, OH 45601
Phone (740) 774-2800

12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180

Interoperability endpoints

  • Direct secure messaging: kvillarreal1060766@direct.osumc.edu

Organizations & group practices 2

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 3

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": "1116892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1255334058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 HOSPITAL RD STE 6",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456019031",
            "telephone_number": "740-779-4222",
            "fax_number": "740-779-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 CENTRAL CTR",
            "city": "CHILLICOTHE",
            "state": "OH",
            "postal_code": "456012248",
            "telephone_number": "740-779-4060",
            "fax_number": "740-779-4069"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "KATHLEEN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-05-24",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.0772266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2024704",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "adena.fam.med.chillicothe@adena.medicity.net",
            "affiliation": "N",
            "address_1": "626 Central Ctr",
            "city": "Chillicothe",
            "state": "OH",
            "country_code": "US",
            "postal_code": "456012248",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chillicothe, OH

Sources for this page

Verify at the official NPI Registry.