Individual provider Active NPI

Marcos Daniel Villarreal, MD

  • Internal Medicine Physician
  • Fredericksburg, VA
National Provider Identifier
1265095160
Registry record updated Dec 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
35091 Issued in NH
Practice address
1101 Sam Perry Blvd Ste 305
Fredericksburg, VA 22401-4465
Phone
(540) 374-3290
NPI assigned
Apr 16, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 35091 NH Primary
Internal Medicine Physician 207R00000X 0101284157 VA
Internal Medicine Physician 207R00000X BP10067181 TX
Endocrinology, Diabetes & Metabolism Physician 207RE0101X C1-0028811 DE

Addresses

Primary practice location

1101 Sam Perry Blvd Ste 305
Fredericksburg, VA 22401-4465

Mailing address

1500 Red River St
Ut Austin Dell Medical School Seton Internal Medicine
Austin, TX 78701-1918

Other practice location 1

1 Medical Center Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

Other practice location 2

232 Mitchell St Unit 102
Millsboro, DE 19966-9412
Phone (302) 648-7999

Other practice location 3

12100 Black Swan Dr Ste 104
Lewes, DE 19958-4991
Phone (302) 645-2244

Other practice location 4

UT Austin Dell Medical School Seton Internal Medicine
1500 Red River (Dell Seton Medical Center)
Austin, TX 78701-1918
Phone (512) 324-8355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NH, DE3 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
I20250117001086 VA Practitioner - Endocrinology 3779012869
I20250731002913 NH Practitioner - Internal Medicine 3779012869 Reassigns benefits to 2 organizations
I20251212002607 DE Practitioner - Endocrinology 3779012869 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mary Hitchcock Memorial HospitalGroup PAC ID 4486561164, 1,269 clinicians
Beebe Physician Network Inc.Group PAC ID 5496744864, 301 clinicians

Practice addresses (Care Compare)

1 Medical Ctr Dr
Lebanon, NH 03756-1000
Phone (603) 650-5000

12100 Black Swan Dr
Lewes, DE 19958-4991
Phone (302) 645-1315

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35091NHMDInternal Medicine Physician
BP10067181TXMDInternal Medicine Physician
C1-0028811DEMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital Internal Medicine CurrentSince Jul 24, 2025 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Jul 24, 2025 Accepting new patients
Beebe Physician Network Inc. Internal Medicine CurrentSince Nov 12, 2025 Accepting new patients
Dartmouth-Hitchcock Clinic Internal Medicine CurrentSince Jul 24, 2025 Accepting new patients

Locations

12100 Black Swan Dr
Ste 104
Lewes, DE 19958
Phone (302) 645-1315

12100 Black Swan Dr
Lewes, DE 19958
Phone (302) 645-1315

232 Mitchell St
Unit 102
Millsboro, DE 19966
Phone (302) 648-3210

232 Mitchell St
Fl 3
Millsboro, DE 19966
Phone (302) 316-4190

32550 Docs Pl
Unit 2
Millville, DE 19967
Phone (302) 539-4302

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

Organizations & group practices 4

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 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765843200000",
    "number": "1265095160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 RED RIVER ST",
            "address_2": "UT AUSTIN DELL MEDICAL SCHOOL SETON INTERNAL MEDICINE",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 SAM PERRY BLVD STE 305",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224014465",
            "telephone_number": "540-374-3290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Lebanon",
            "state": "NH",
            "postal_code": "037561000",
            "country_code": "US",
            "telephone_number": "603-650-5000",
            "fax_number": "603-640-1228",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "232 Mitchell St Unit 102",
            "address_purpose": "LOCATION",
            "city": "Millsboro",
            "state": "DE",
            "postal_code": "199669412",
            "country_code": "US",
            "telephone_number": "302-648-7999",
            "fax_number": "302-645-7698",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12100 Black Swan Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Lewes",
            "state": "DE",
            "postal_code": "199584991",
            "country_code": "US",
            "telephone_number": "302-645-2244",
            "fax_number": "888-987-9645",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "UT Austin Dell Medical School Seton Internal Medicine",
            "address_2": "1500 Red River (Dell Seton Medical Center)",
            "address_purpose": "LOCATION",
            "city": "Austin",
            "state": "TX",
            "postal_code": "787011918",
            "country_code": "US",
            "telephone_number": "512-324-8355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "MARCOS",
        "middle_name": "DANIEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-16",
        "last_updated": "2025-12-16",
        "certification_date": "2025-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NH",
            "license": "35091",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101284157",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "BP10067181",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "DE",
            "license": "C1-0028811",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.