Individual provider Active NPI

Maria de la Luz Villegas, MD

  • Dermatology Physician
  • Harlingen, TX
National Provider Identifier
1366622938
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
N7019 Issued in TX
Practice address
615 Camelot Dr
Harlingen, TX 78550-8472
Phone
(956) 296-2701
Fax
(956) 296-2700
NPI assigned
Nov 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X N7019 TX Primary

Addresses

Primary practice location

615 Camelot Dr
Harlingen, TX 78550-8472

Mailing address

2102 Treasure Hills Blvd # 3.14406
Harlingen, TX 78550-8736
Phone (956) 296-1437

Other identifiers 2

IdentifierTypeStateIssuer
4097222-01MedicaidTX
H08MQ14001OtherTXBCBS

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
I20200330002419 TX Practitioner - Dermatology 6901235795 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Texas Medical School at San Antonio, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

615 Camelot Dr
Harlingen, TX 78550-8472
Phone (956) 296-2700

Merit-based Incentive Payment System (MIPS)

Final score
86.59 of 100Reported as group
Quality
72.49
Promoting interoperability
94
Improvement activities
40
Cost
68.19

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision42
Removal of skin lesions186
Removal or shaving of skin growth1-10
Skin biopsy106

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The University of Texas Rio Grande Valley CurrentSince May 1, 2020 Accepting new patients
The University of Texas Rio Grande Valley CurrentSince May 1, 2020 Accepting new patients
University of Texas Rio Grande Valley Past Accepting new patients

Locations

2102 Treasure Hills Blvd
Harlingen, TX 78550
Phone (956) 296-1437

615 Camelot Dr
Harlingen, TX 78550
Phone (956) 296-2701

2810 W Expressway 83
Mercedes, TX 78570
Phone (956) 296-1831

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1366622938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 TREASURE HILLS BLVD # 3.14406",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508736",
            "telephone_number": "956-296-1437",
            "fax_number": "956-296-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 CAMELOT DR",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "785508472",
            "telephone_number": "956-296-2701",
            "fax_number": "956-296-2700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEGAS",
        "first_name": "MARIA DE LA LUZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "N7019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4097222-01",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "H08MQ14001",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

Verify at the official NPI Registry.