Individual provider Active NPI

Raymond M Villalobos, M.D.

  • Physical Medicine & Rehabilitation Physician
  • Spokane, WA
National Provider Identifier
1376580597
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
78395 Issued in MA
Practice address
715 S Cowley St Ste 210
Spokane, WA 99202
Phone
(509) 473-6706
Fax
(509) 473-6704
NPI assigned
May 31, 2006
Last updated
Sep 23, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 78395 MA Primary
Physical Medicine & Rehabilitation Physician 208100000X MD17230 RI
Physical Medicine & Rehabilitation Physician 208100000X MD00030129 WA
Physical Medicine & Rehabilitation Physician 208100000X 78914 MT

Addresses

Primary practice location

715 S Cowley St Ste 210
Spokane, WA 99202

Mailing address

168 South St
Shrewsbury, MA 01545-5402
Phone (508) 523-4218

Other practice location 1

888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 946-4611

Other practice location 2

20 Powel Avenue
Newport, RI 02840-2299
Phone (401) 845-1652

Other identifiers 1

IdentifierTypeStateIssuer
3175839MedicaidMA

Other names 1

  • Dr. Ray Villalobos Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CA, WA, AK, ID, TX6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20050427000194 MA Practitioner - Physical Medicine and Rehabilitation 2365481694 Reassigns benefits to 2 organizations
I20180223000943 CA Practitioner - Physical Medicine and Rehabilitation 2365481694 Reassigns benefits to 1 organization
I20181207001202 WA Practitioner - Physical Medicine and Rehabilitation 2365481694 Reassigns benefits to 2 organizations
I20220830003322 AK Practitioner - Physical Medicine and Rehabilitation 2365481694 Reassigns benefits to 1 organization
I20250731004377 ID Practitioner - Physical Medicine and Rehabilitation 2365481694 Reassigns benefits to 1 organization
I20260501002738 TX Practitioner - Physical Medicine and Rehabilitation 2365481694 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
University of California, Davis School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

Shrewsbury, MA 01545

401 W Poplar St
Walla Walla, WA 99362-2846
Phone (509) 897-3320

4800 Cordova St
Anchorage, AK 99503-7218
Phone (907) 561-3333

777 Hospital Way
Pocatello, ID 83201-5175
Phone (208) 239-1000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
78914MTMDPhysical Medicine & Rehabilitation Physician
MD00030129WAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey Behavioral Health CurrentSince Dec 23, 2017 Accepting new patients
Metro West Rehab Corp CurrentSince Feb 17, 2018 Accepting new patients
Providence Health & Services- Washington CurrentSince Sep 1, 2022 Accepting new patients
County of Monterey CurrentSince Dec 23, 2017 Accepting new patients
Lifepoint Rehab Physician Services LLC Physical Medicine & Rehabilitation CurrentSince Jul 14, 2025 Accepting new patients
Lifepoint Rehab Physician Services LLC Physical Medicine & Rehabilitation CurrentSince Jul 14, 2025 Accepting new patients
Metro West Rehab Corp CurrentSince Feb 17, 2018 Accepting new patients
Providence Health & Services - Washington CurrentSince Feb 2, 2026 Accepting new patients
Kadlec Regional Medical Center CurrentSince Oct 9, 2025 Accepting new patients
Neurology Associates of Spokane PastSince Oct 22, 2018 Accepting new patients

Locations

4800 Cordova St
Anchorage, AK 99503
Phone (907) 375-3355

920 Compassion Cir
Anchorage, AK 99504
Phone (907) 212-9200

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

777 Hospital Way
Fl 5
Pocatello, ID 83201
Phone (208) 239-1000

150 Flanders Rd
Westborough, MA 01581
Phone (508) 870-2222

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

1135 Jadwin Ave
Richland, WA 99352
Phone (509) 942-3300

888 Swift Blvd
Richland, WA 99352
Phone (509) 942-2115

380 Chase Ave
Walla Walla, WA 99362
Phone (509) 526-3333

401 W Poplar St
Walla Walla, WA 99362
Phone (509) 522-5731

Interoperability endpoints

  • Direct secure messaging: rvillalobos1003181@ak.providencedirect.org

Organizations & group practices 11

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 7

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1376580597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "168 SOUTH ST",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015455402",
            "telephone_number": "508-523-4218"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S COWLEY ST STE 210",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "99202",
            "telephone_number": "509-473-6706",
            "fax_number": "509-473-6704"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "888 Swift Blvd",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523514",
            "country_code": "US",
            "telephone_number": "509-946-4611",
            "fax_number": "509-942-2812",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "20 Powel Avenue",
            "address_purpose": "LOCATION",
            "city": "Newport",
            "state": "RI",
            "postal_code": "028402299",
            "country_code": "US",
            "telephone_number": "401-845-1652",
            "fax_number": "401-845-1198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLALOBOS",
        "first_name": "RAYMOND",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "78395",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "RI",
            "license": "MD17230",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "WA",
            "license": "MD00030129",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MT",
            "license": "78914",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3175839",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAY",
            "last_name": "VILLALOBOS",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.