John G Villanueva, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0101228975 Issued in VA

Practice address

4260 Crossings Blvd
Suite 2
Prince George, VA 23875-1400

Phone

(804) 452-5800

Fax

(804) 452-5801

NPI assigned

Jan 6, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in VA

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

Specialty

Family Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Virginia Health Services IncGroup PAC ID 0345158432, 94 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Community Memorial Hospital Hospital, South Hill, VA, CCN 490098
• John Randolph Medical Center Hospital, Hopewell, VA, CCN 490020

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Central Virginia Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Petersburg, VA
  • NPI 1134258601
  Medicare reassignment Care Compare group NPD
• Central Virginia Health Services Inc

  • Federally Qualified Health Center (FQHC)
  • Hopewell, VA
  • NPI 1972264869
  NPD

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

• Columbia/HCA John Randolph, Inc.

  • General Acute Care Hospital
  • Hopewell, VA
  • NPI 1285671248
  Care Compare affiliation
• Community Memorial Hospital

  • General Acute Care Hospital
  • South Hill, VA
  • NPI 1336103738
  Care Compare affiliation

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

{
    "created_epoch": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390521600000",
    "number": "1265410427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 220",
            "address_2": "25892 N. JAMES MADISON HWY",
            "city": "NEW CANTON",
            "state": "VA",
            "postal_code": "23123",
            "telephone_number": "434-581-3271",
            "fax_number": "434-581-1704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4260 CROSSINGS BLVD",
            "address_2": "SUITE 2",
            "city": "PRINCE GEORGE",
            "state": "VA",
            "postal_code": "238751400",
            "telephone_number": "804-452-5800",
            "fax_number": "804-452-5801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "JOHN",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2014-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101228975",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Townsend
• Ashley Nicole Treadway, M.S., CF-SLP
• Taylin Tyler
• Mary Nneka Ukpabi-Egbuniwe, FNP
• Unique Angels Home Health Inc.
• VPK Shah Meds LLC
• Eugena Curtis Waggoner, DDS
• Wan Wang
• William Waschler, M.D.
• Jennifer L Washburn, RN

• Family Medicine Physician in Prince George, VA
• Providers in Prince George, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2014; 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.

Verify at the official NPI Registry.