Individual provider Active NPI

Angel L Villanueva Jr., MD

  • Psychiatry Physician
  • Columbus, OH
National Provider Identifier
1255370714
Registry record updated Nov 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
35.041340 Issued in OH
Practice address
4770 Indianola Ave Ste 107
Columbus, OH 43214-1862
Phone
(614) 371-2303
Fax
(800) 905-9950
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35.041340 OH
Psychiatry Physician 2084P0800X 35.041340 OH Primary

Addresses

Primary practice location

4770 Indianola Ave Ste 107
Columbus, OH 43214-1862

Mailing address

4770 Indianola Ave Ste 107
Columbus, OH 43214-1862
Phone (614) 371-2303

Other identifiers 1

IdentifierTypeStateIssuer
0340590MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040422000855 OH Practitioner - Emergency MedicinePractitioner - Internal Medicine 4284620527 Reassigns benefits to 5 organizations
I20200707003291 OH Practitioner - Internal MedicinePractitioner - Addiction Medicine 4284620527 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Holistic Wellness Solutions LLCGroup PAC ID 6002243755, 10 clinicians

Practice addresses (Care Compare)

4770 Indianola Ave
Suite 107
Columbus, OH 43214-1862
Phone (614) 371-2303

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Holistic Wellness Solutions LLC CurrentSince Nov 24, 2025 Accepting new patients
Ridgeline Recovery LLC CurrentSince Dec 1, 2021 Accepting new patients
First Step Recovery Center CurrentSince Oct 8, 2016 Accepting new patients
Ridgeline Recovery LLC CurrentSince Dec 1, 2021 Accepting new patients
Southwestern Recovery Center, LLC Internal Medicine CurrentSince Dec 5, 2017 Accepting new patients
Southwestern Recovery Center, LLC CurrentSince Dec 5, 2017 Accepting new patients
First Step Recovery Center CurrentSince Oct 8, 2016 Accepting new patients
Chiropractic Health Center, LLC CurrentSince Sep 15, 2021 Accepting new patients
North Creek LLC CurrentSince Apr 1, 2018 Accepting new patients
Holistic Wellness Solutions LLC CurrentSince Jan 1, 2020 Accepting new patients
Reach for Tomorrow Inc Internal Medicine PastSince Apr 1, 2018 Accepting new patients

Locations

2350 Briggs Rd
Columbus, OH 43223
Phone (614) 274-8885

491 Georgesville Rd
Columbus, OH 43228
Phone (614) 618-5000

3099 Sullivant Ave
Ste H
Columbus, OH 43204
Phone (614) 260-4419

4770 Indianola Ave
Ste 107
Columbus, OH 43214
Phone (614) 371-2303

138 S Washington St
Greenfield, OH 45123
Phone (877) 997-3224

910 South St
Greenfield, OH 45123
Phone (877) 997-3224

4461 Broadway
Ste 150
Grove City, OH 43123
Phone (614) 594-2141

8611 Columbus Pike
Lewis Center, OH 43035
Phone (614) 839-1044

620 Bear Run Ln
Ste D
Lewis Center, OH 43035
Phone (614) 706-5206

1653 Brice Rd
Reynoldsburg, OH 43068
Phone (614) 300-5878

1649 Brice Rd
Ste C
Reynoldsburg, OH 43068
Phone (614) 300-5878

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763510400000",
    "number": "1255370714",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4770 INDIANOLA AVE STE 107",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141862",
            "telephone_number": "614-371-2303",
            "fax_number": "800-905-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4770 INDIANOLA AVE STE 107",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432141862",
            "telephone_number": "614-371-2303",
            "fax_number": "800-905-9950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "ANGEL",
        "middle_name": "L",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2025-11-19",
        "certification_date": "2025-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.041340",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OH",
            "license": "35.041340",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0340590",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.