Active NPI
Raymond M Villalobos, M.D.
- Physical Medicine & Rehabilitation Physician
- Spokane, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 78395
- 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, 2020
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3175839 | Medicaid | MA |
Other names 1
- Dr. Ray Villalobos
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CA, WA, AK, ID, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
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
| License | State | Type | Specialty |
|---|---|---|---|
| 78914 | MT | MD | Physical Medicine & Rehabilitation Physician |
| MD00030129 | WA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Monterey Behavioral Health | Current | Accepting new patients | |
| Metro West Rehab Corp | Current | Accepting new patients | |
| Providence Health & Services- Washington | Current | Accepting new patients | |
| County of Monterey | Current | Accepting new patients | |
| Lifepoint Rehab Physician Services LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Lifepoint Rehab Physician Services LLC | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Metro West Rehab Corp | Current | Accepting new patients | |
| Providence Health & Services - Washington | Current | Accepting new patients | |
| Kadlec Regional Medical Center | Current | Accepting new patients | |
| Neurology Associates of Spokane | Past | 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
- 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.
-
dba Providence Medical Group Southeast Washington
- Family Medicine Physician
- Walla Walla, WA
- NPI 1922259738
-
dba Portneuf Rehabilitation Physician Services
- Physical Medicine & Rehabilitation Physician
- Pocatello, ID
- NPI 1598492522
-
dba Providence Medical Group Alaska
- Critical Care Medicine (Internal Medicine) Physician
- Anchorage, AK
- NPI 1093956278
MA
-
- General Acute Care Hospital
- Richland, WA
- NPI 1972507580
-
dba Natividad Medical Center
- General Acute Care Hospital
- Salinas, CA
- NPI 1205863255
-
dba Whittier Rehabilitation Hospital-Westborough
- Rehabilitation Hospital
- Westborough, MA
- NPI 1093744286
-
dba Access to Treatment Pearl St
- Adult Mental Health Clinic/Center
- Salinas, CA
- NPI 1053126003
-
dba Montana Rehabilitation Physician Services
- Physical Medicine & Rehabilitation Physician
- Billings, MT
- NPI 1407542483
-
dba Whitter Westborough IRF Unit
- Rehabilitation Hospital Unit
- Westborough, MA
- NPI 1760783575
-
- Neurology Physician
- Spokane, WA
- NPI 1477690618
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence St Mary Medical Center
- General Acute Care Hospital
- Walla Walla, WA
- NPI 1386895886
-
- Rehabilitation Hospital Unit
- Walla Walla, WA
- NPI 1467603282
Inpatient rehabilitation facility
-
dba Providence St Elias Specialty Hospital
- General Acute Care Hospital
- Anchorage, AK
- NPI 1093979932
Inpatient rehabilitation facility
-
dba Providence St Elias Rehabilitation Unit
- Rehabilitation Hospital Unit
- Anchorage, AK
- NPI 1861045445
Inpatient rehabilitation facility
-
- Long Term Care Hospital
- Anchorage, AK
- NPI 1912965021
Inpatient rehabilitation facility
-
dba Alaska Regional Hospital
- General Acute Care Hospital
- Anchorage, AK
- NPI 1952348047
-
dba Providence Alaska Medical Center
- General Acute Care Hospital
- Anchorage, AK
- NPI 1053363119
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.