Individual provider Active NPI

Maria Sophia S. Villanueva, M.D

  • Colon & Rectal Surgery Physician
  • Winchester, VA
National Provider Identifier
1295058758
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
0101273219 Issued in VA
Practice address
400 Campus Blvd Ste 210
Winchester, VA 22601-6906
Phone
(540) 536-3470
Fax
(540) 536-3471
NPI assigned
Mar 11, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 0101273219 VA Primary

Addresses

Primary practice location

400 Campus Blvd Ste 210
Winchester, VA 22601-6906

Mailing address

400 Campus Blvd Ste 210
Winchester, VA 22601-6906
Phone (540) 536-3470

Other names 1

  • Maria Sophia L. Subong Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mvillanueva961676@soc.inova.org Direct

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20210929002953 VA Practitioner - General SurgeryPractitioner - Colorectal Surgery (Proctology)Practitioner - Surgical Oncology 4688808553 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Colorectal Surgery (Proctology), Surgical Oncology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Valley Physician Enterprise IncGroup PAC ID 9931268091, 176 clinicians

Practice addresses (Care Compare)

190 Campus Blvd
Suite 310
Winchester, VA 22601-2872
Phone (540) 536-0130

Hospital & facility affiliations

  • Valley Health Home Health Home health agency, Winchester, VA, CCN 497058
  • Valley Health Home Health/West Virginia Home health agency, Romney, WV, CCN 517075
  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005
  • Shenandoah Memorial Hospital Hospital, Woodstock, VA, CCN 491305
  • Hampshire Memorial Hospital Hospital, Romney, WV, CCN 511311

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy33
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center Current Accepting new patients
Winchester Medical Center CurrentSince Oct 1, 2021 Accepting new patients
Valley Physician Enterprise, Inc Surgery CurrentSince Oct 1, 2021 Accepting new patients
Winchester Medical Center CurrentSince Oct 1, 2021 Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Oct 1, 2021 Accepting new patients
Winchester Medical Center Past Accepting new patients

Locations

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

400 Campus Blvd
Ste 210
Winchester, VA 22601
Phone (540) 536-3470

190 Campus Blvd
Ste 310
Winchester, VA 22601
Phone (540) 536-0130

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

220 Campus Blvd
Ste 100
Winchester, VA 22601

1870 Amherst St
Winchester, VA 22601
Phone (540) 536-0110

Interoperability endpoints

  • Direct secure messaging: mvillanueva961676@valleyhealth.direct-ci.com
  • Direct secure messaging: mvillanueva961676@soc.inova.org

Organizations & group practices 6

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 6

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": "1268265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1295058758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CAMPUS BLVD STE 210",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016906",
            "telephone_number": "540-536-3470",
            "fax_number": "540-536-3471"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CAMPUS BLVD STE 210",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "226016906",
            "telephone_number": "540-536-3470",
            "fax_number": "540-536-3471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "MARIA SOPHIA",
        "middle_name": "S.",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-11",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "VA",
            "license": "0101273219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mvillanueva961676@soc.inova.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "400 Campus Blvd Ste 210",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226016906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "MARIA SOPHIA",
            "last_name": "SUBONG",
            "middle_name": "L.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.