Individual provider Active NPI

Douglas Rosaro Villard, M.D.

  • Emergency Medicine Physician
  • San Antonio, TX
National Provider Identifier
1376619841
Registry record updated Jun 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2006034981 Issued in MO
Practice address
3551 Roger Brooke Dr
Sammc Department of Emergency Medicine
San Antonio, TX 78234-4504
Phone
(210) 916-0808
NPI assigned
Nov 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2006034981 MO Primary

Addresses

Primary practice location

3551 Roger Brooke Dr
Sammc Department of Emergency Medicine
San Antonio, TX 78234-4504

Mailing address

3551 Roger Brooke Dr
Sammc Department of Emergency Medicine
San Antonio, TX 78234-4504
Phone (210) 916-0808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20150909002418 VA Practitioner - Emergency Medicine 7113241829 Reassigns benefits to 1 organization
I20190212003231 NC Practitioner - Emergency Medicine 7113241829 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2006034981MOMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Aug 1, 2015 Accepting new patients
Asheboro Emergency Physicians PA Emergency Medicine CurrentSince Aug 1, 2018 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients

Locations

364 White Oak St
Asheboro, NC 27203
Phone (336) 625-5151

9275 Chamberlayne Rd
Mechanicsvlle, VA 23116
Phone (800) 417-0300

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

7700 E Parham Rd
Richmond, VA 23294
Phone (804) 289-4852

12720 Tuckahoe Creek Pkwy
Richmond, VA 23238
Phone (804) 217-9091

2621 Grove Ave
Richmond, VA 23220
Phone (804) 252-5433

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": "1164672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371772800000",
    "number": "1376619841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "address_2": "SAMMC DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3551 ROGER BROOKE DR",
            "address_2": "SAMMC DEPARTMENT OF EMERGENCY MEDICINE",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782344504",
            "telephone_number": "210-916-0808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARD",
        "first_name": "DOUGLAS",
        "middle_name": "ROSARO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-28",
        "last_updated": "2013-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "2006034981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.