Individual provider Active NPI

Lourdes Gomez Villaume, MD

  • Internal Medicine Physician
  • Saint Paul, MN
National Provider Identifier
1376737619
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
62032 Issued in MN
Practice address
640 Jackson St
Saint Paul, MN 55101-2502
Phone
(651) 254-3456
Fax
(651) 254-9673
NPI assigned
Aug 29, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X A110418 CA
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 62032 MN Primary
Internal Medicine Physician 207R00000X 0101257380 VA
Hospitalist Physician 208M00000X 62032 MN

Addresses

Primary practice location

640 Jackson St
Saint Paul, MN 55101-2502

Mailing address

8170 33Rd Ave S # Ms 21110Q
Bloomington, MN 55425-4516
Phone (651) 254-3456

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MN, WI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20100129000365 CA Practitioner - Internal Medicine 9133262132 Reassigns benefits to 1 organization
I20170608002565 MN Practitioner - Internal MedicinePractitioner - Hospitalist 9133262132 Reassigns benefits to 4 organizations
I20240304002435 WI Practitioner - Internal MedicinePractitioner - Hospitalist 9133262132 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
Loyola University of Chicago, Stritch School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Hutchinson HealthGroup PAC ID 0345330072, 145 clinicians
Group Health IncGroup PAC ID 1759293954, 1,627 clinicians
St. Croix Regional Medical CenterGroup PAC ID 9335032184, 131 clinicians
Amery Regional Medical Center IncGroup PAC ID 2769391960, 124 clinicians
Hudson Hospital IncGroup PAC ID 0648183061, 37 clinicians
Westfields Hospital IncGroup PAC ID 2264490960, 108 clinicians

Practice addresses (Care Compare)

1095 Hwy 15 S
Hutchinson, MN 55350-5000
Phone (320) 234-5000

205 Wabasha Ave S
Saint Paul, MN 55107-1805

235 E State St
Saint Croix Falls, WI 54024-4117
Phone (715) 483-3221

265 Griffin St E
Amery, WI 54001-1439
Phone (715) 268-8000

405 Stageline Rd
Hudson, WI 54016-7848
Phone (715) 531-6000

535 Hospital Rd
New Richmond, WI 54017-1449
Phone (715) 243-2600

640 Jackson St
Saint Paul, MN 55101-2502
Phone (651) 221-3456

8600 Nicollet Ave
Bloomington, MN 55420-2824
Phone (952) 884-1148

Hospital & facility affiliations

  • Regions Hospital Hospital, Saint Paul, MN, CCN 240106
  • Westfields Hospital and Clinic Hospital, New Richmond, WI, CCN 521345
  • St Croix Regional Medical Center Hospital, Saint Croix Falls, WI, CCN 521337
  • Westfields Hospital and Clinic Nursing home, CCN 52Z345

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
110418CAMDGeneral Practice Dentistry
A110418CAMDHospitalist Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Group Health, Inc. CurrentSince Jun 1, 2017 Accepting new patients
Westfields Hospital, Inc CurrentSince Mar 28, 2024 Accepting new patients
Healthpartners RC CurrentSince Nov 18, 2025 Accepting new patients
Group Health, Inc. Current Accepting new patients
Hudson Hospital, Inc. CurrentSince Nov 17, 2025 Accepting new patients
St. Croix Regional Medical Center CurrentSince Nov 26, 2025 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Nov 19, 2025 Accepting new patients
Hutchinson Health CurrentSince Nov 17, 2025 Accepting new patients
Hudson Hospital, Inc. CurrentSince Nov 17, 2025 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Apr 19, 2011 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Dec 31, 2025 Accepting new patients
Westfields Hospital, Inc. CurrentSince Mar 28, 2024 Accepting new patients
Healthpartners RC CurrentSince Nov 18, 2025 Accepting new patients
Amery Regional Medical Center, Inc. CurrentSince Nov 19, 2025 Accepting new patients
St. Croix Regional Medical Center CurrentSince Nov 26, 2025 Accepting new patients
Regions Hospital Past Accepting new patients

Locations

751 Medical Center Ct
Chula Vista, CA 91911
Phone (619) 482-3639

7901 Frost St
San Diego, CA 92123
Phone (619) 541-3400

1095 Highway 15 S
Hutchinson, MN 55350
Phone (320) 234-5000

1029 Highway 15 S
Hutchinson, MN 55350
Phone (320) 275-3358

8170 33rd Ave S
#21110Q
Minneapolis, MN 55425
Phone (952) 883-5375

8600 Nicollet Ave S
Minneapolis, MN 55420
Phone (952) 887-6600

2220 Riverside Ave
Minneapolis, MN 55454
Phone (612) 371-1600

100 Healthy Way
Olivia, MN 56277
Phone (320) 523-1261

640 Jackson St
Saint Paul, MN 55101
Phone (651) 221-2164

265 Griffin St E
Amery, WI 54001
Phone (715) 268-0301

405 Stageline Rd
Hudson, WI 54016
Phone (715) 531-6000

535 Hospital Rd
New Richmond, WI 54017
Phone (651) 292-2013

216 S Adams St
St Croix Fls, WI 54024
Phone (715) 483-0426

235 E State St
St Croix Fls, WI 54024
Phone (715) 483-3221

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 10

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": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1376737619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8170 33RD AVE S # MS 21110Q",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554254516",
            "telephone_number": "651-254-3456",
            "fax_number": "651-254-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012502",
            "telephone_number": "651-254-3456",
            "fax_number": "651-254-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAUME",
        "first_name": "LOURDES",
        "middle_name": "GOMEZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A110418",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "62032",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101257380",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MN",
            "license": "62032",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.