Individual provider Active NPI

Robert L Villalobos, MD

  • Ophthalmology Physician
  • Las Cruces, NM
National Provider Identifier
1285682674
Registry record updated Jun 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
NM83137 Issued in NM
Practice address
2030 S Solano Dr
Las Cruces, NM 88001-5402
Phone
(505) 521-1158
Fax
(505) 521-1007
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X NM83137 NM Primary

Addresses

Primary practice location

2030 S Solano Dr
Las Cruces, NM 88001-5402

Mailing address

2030 S Solano Dr
Las Cruces, NM 88001-5402
Phone (505) 521-1158

Other identifiers 3

IdentifierTypeStateIssuer
NM002878OtherNMBCBS NM
CN4173OtherNMRR MEDICARE
000S8425MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20090318000111 NM Practitioner - Ophthalmology 0345307401 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southwestern Eye Center LTDGroup PAC ID 1850296989, 116 clinicians

Practice addresses (Care Compare)

2030 S Solano Dr
Las Cruces, NM 88001-5402
Phone (575) 521-1158

Merit-based Incentive Payment System (MIPS)

Final score
88.66 of 100Reported as group
Quality
84.9
Promoting interoperability
100
Improvement activities
40
Cost
77.31

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NM83137NMMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Eye Center, LTD CurrentSince Nov 1, 2012 Accepting new patients
Southwestern Eye Center LTD Ophthalmology CurrentSince Nov 1, 2012 Accepting new patients

Locations

2610 E University Dr
Mesa, AZ 85213

2030 S Solano Dr
Las Cruces, NM 88001
Phone (505) 521-1158

Interoperability endpoints

  • Direct secure messaging: robert.villalobos@direct.avp.nextgenshare.com

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, 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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1212710400000",
    "number": "1285682674",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2030 S SOLANO DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015402",
            "telephone_number": "505-521-1158",
            "fax_number": "505-521-1007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2030 S SOLANO DR",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880015402",
            "telephone_number": "505-521-1158",
            "fax_number": "505-521-1007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALOBOS",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2008-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NM",
            "license": "NM83137",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NM",
            "identifier": "NM002878",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "CN4173",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000S8425",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

Verify at the official NPI Registry.