NPIMap

Individual provider Active NPI

Raul Villanueva, MD

  • Infectious Disease Physician
  • Fort Lauderdale, FL
National Provider Identifier
1265654263
Registry record updated Jul 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME98244 Issued in FL
Practice address
1451 NE 4TH Ave
Fort Lauderdale, FL 33304-1033
Phone
(954) 271-0135
Fax
(954) 271-0135
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME98244 FL Primary

Addresses

Primary practice location

1451 NE 4TH Ave
Fort Lauderdale, FL 33304-1033

Mailing address

1451 NE 4TH Ave
Fort Lauderdale, FL 33304-1033
Phone (954) 271-0135

Other identifiers 1

IdentifierTypeStateIssuer
278084400MedicaidFL

Other names 1

  • Raul Villanueva Calderon Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070807000832 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 3072604917 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 1989
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1180 N Federal Hwy
Unit 504
Fort Lauderdale, FL 33304-1465

3761 NW 100 Ave
Coral Springs, FL 33065-2840

Hospital & facility affiliations

  • USA Home Health Services Home health agency, Plantation, FL, CCN 107397
  • Working Nurses Healthcare LLC Home health agency, Margate, FL, CCN 687057
  • Broward Health Imperial Point Hospital, Fort Lauderdale, FL, CCN 100200
  • Holy Cross Hospital Hospital, Ft Lauderdale, FL, CCN 100073
  • Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039
  • Westside Regional Medical Center Hospital, Plantation, FL, CCN 100228

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Villanueva Medical Group LLC Infectious Disease CurrentSince Mar 26, 2012 Accepting new patients
Texas Centers for Infectious Disease Associates PA Infectious Disease Past Accepting new patients
Solsun Medical Inc PastSince Jul 23, 2023 Accepting new patients
Tarrant County Infectious Disease Associates Infectious Disease PastSince Oct 6, 2019 Accepting new patients

Locations

4800 NE 20th Ter
Ste 115
Ft Lauderdale, FL 33308
Phone (954) 491-1111

1451 NE 4th Ave
Ft Lauderdale, FL 33304
Phone (954) 271-0135

5333 N Dixie Hwy
Ste 205
Oakland Park, FL 33334
Phone (954) 491-1000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCCBBA
  • Direct secure messaging: rvillanueva2022690@direct.trinity-health.org

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 9

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": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689897600000",
    "number": "1265654263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1451 NE 4TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041033",
            "telephone_number": "954-271-0135",
            "fax_number": "954-271-0135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1451 NE 4TH AVE",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333041033",
            "telephone_number": "954-271-0135",
            "fax_number": "954-271-0135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "RAUL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2023-07-21",
        "certification_date": "2023-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME98244",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278084400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAUL",
            "last_name": "VILLANUEVA CALDERON",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.