Individual provider Active NPI

Armando Villarreal MD PA

  • Family Medicine Physician
  • Pleasanton, TX
National Provider Identifier
1366455891
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G5734 Issued in TX
Practice address
1540 W Goodwin St
Pleasanton, TX 78064-3804
Phone
(830) 569-6340
Fax
(830) 569-5165
NPI assigned
Aug 14, 2006
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X G5734 TX
Family Medicine Physician 207Q00000X G5734 TX Primary

Addresses

Primary practice location

1540 W Goodwin St
Pleasanton, TX 78064-3804

Mailing address

252 Liberty LN
Pleasanton, TX 78064-4711
Phone (210) 827-9272

Other identifiers 2

IdentifierTypeStateIssuer
063660701MedicaidTX
X0054580OtherTXDPS #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20040615001649 TX Practitioner - Family Practice 8123012697 Reassigns benefits to 1 organization
Practice locations: Jourdanton, TX

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical School at Houston, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1540 W Goodwin St
Pleasanton, TX 78064-3804
Phone (830) 569-6340

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Armando Villarreal MD PA Family Medicine CurrentSince Apr 30, 1999 Accepting new patients

Locations

1605 E State Highway 97
Jourdanton, TX 78026
Phone (210) 688-0075

1540 W Goodwin St
Pleasanton, TX 78064
Phone (830) 569-2701

Interoperability endpoints

  • Direct secure messaging: armando.villarreal.1@14513.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/14513/brand/1/csg/1/fhir/r4

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Armando Villarreal MD PAPleasanton, TX, CCN 458965 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
Corporate Officer (100%)
Corporate Director (100%)
W-2 Managing Employee
Apr 30, 1999
Apr 30, 1999
Apr 30, 1999
Jun 17, 2010

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1366455891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 LIBERTY LN",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780644711",
            "telephone_number": "210-827-9272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 W GOODWIN ST",
            "city": "PLEASANTON",
            "state": "TX",
            "postal_code": "780643804",
            "telephone_number": "830-569-6340",
            "fax_number": "830-569-5165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL MD PA",
        "first_name": "ARMANDO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2023-03-07",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "TX",
            "license": "G5734",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G5734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "063660701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPS #",
            "identifier": "X0054580",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasanton, TX

Sources for this page

Verify at the official NPI Registry.