Active NPI
Edward Eusebio Villanueva, DPM
- Podiatrist
- Drexel Hill, PA
National Provider Identifier
1346233053
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- SC003875L
- Practice address
- 2501 Garrett Rd
Drexel Hill, PA 19026-1010 - Phone
- (610) 623-3540
- Fax
- (610) 623-2327
- NPI assigned
- Aug 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | SC003875L | PA | Primary |
| Foot Surgery Podiatrist | 213ES0131X | SC003875L | PA |
Addresses
Primary practice location
2501 Garrett Rd
Drexel Hill, PA 19026-1010
Mailing address
2501 Garrett Rd
Drexel Hill, PA 19026-1010
Phone (610) 623-3540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0015260540002 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2501 Garrett Rd
Drexel Hill, PA 19026-1010
Phone (610) 623-3540
Merit-based Incentive Payment System (MIPS)
- Final score
- 0 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 0
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 2116 |
| Removal or shaving of skin growth | 924 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC003875L | PA | MD | Foot Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Edward E Villanueva DPM | Podiatrist | Current | Accepting new patients |
| Wiemer Family Podiatry, LLC | Foot Surgery | Past | Accepting new patients |
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Foot & Ankle Surgery Podiatrist
- Bryn Mawr, PA
- NPI 1962401752
Organizations & group practices 2
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.
-
- Podiatrist
- Drexel Hill, PA
- NPI 1740341775
-
- Foot Surgery Podiatrist
- Havertown, PA
- NPI 1063681260
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294358400000",
"number": "1346233053",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2501 GARRETT RD",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190261010",
"telephone_number": "610-623-3540",
"fax_number": "610-623-2327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2501 GARRETT RD",
"city": "DREXEL HILL",
"state": "PA",
"postal_code": "190261010",
"telephone_number": "610-623-3540",
"fax_number": "610-623-2327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "EDWARD",
"middle_name": "EUSEBIO",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-08-27",
"last_updated": "2011-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "PA",
"license": "SC003875L",
"primary": true
},
{
"code": "213ES0131X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot Surgery",
"state": "PA",
"license": "SC003875L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0015260540002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Drexel Hill, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; 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.