Active NPI
Joseph Borromeo Villanueva, M.D.
- Internal Medicine Physician
- Sumter, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 36537
- Practice address
- 649 W Wesmark Blvd
Sumter, SC 29150-1900 - Phone
- (803) 469-7500
- Fax
- (803) 469-7521
- NPI assigned
- Jul 17, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 36537 | SC | Primary |
Addresses
Primary practice location
649 W Wesmark Blvd
Sumter, SC 29150-1900
Mailing address
649 W Wesmark Blvd
Sumter, SC 29150-1900
Phone (803) 469-7500
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3655 Mitchell St
Loris, SC 29569-2827
Phone (843) 716-7111
Hospital & facility affiliations
- McLeod Loris Hospital
- McLeod Regional Medical Center-Pee Dee
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36537 | SC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLeod Health Clarendon | Current | Accepting new patients | |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| McLeod Health Clarendon | Current | Accepting new patients | |
| McLeod Health Clarendon | Current | Accepting new patients | |
| McLeod Loris Seacoast Hospital | Current | Accepting new patients | |
| McLeod Loris Seacoast Hospital | Past | Accepting new patients |
Locations
3655 Mitchell St
Loris, SC 29569
Phone (843) 716-7000
10 E Hospital St
Manning, SC 29102
Phone (803) 433-3000
Interoperability endpoints
- jvillanueva27037@directmcleodehealth.org
Organizations & group practices 6
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.
-
- Certified Registered Nurse Anesthetist
- Loris, SC
- NPI 1265708119
-
- Certified Registered Nurse Anesthetist
- Manning, SC
- NPI 1508218793
-
- Rural Health Clinic/Center
- Timmonsville, SC
- NPI 1003461773
-
- Rural Health Clinic/Center
- Manning, SC
- NPI 1962851097
-
- Community/Retail Pharmacy
- Little River, SC
- NPI 1629387352
-
- General Acute Care Hospital
- Loris, SC
- NPI 1306123344
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Loris, SC
- NPI 1306123344
-
- General Acute Care Hospital
- Florence, SC
- NPI 1699756221
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1403740800000",
"number": "1376831982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "649 W WESMARK BLVD",
"city": "SUMTER",
"state": "SC",
"postal_code": "291501900",
"telephone_number": "803-469-7500",
"fax_number": "803-469-7521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "649 W WESMARK BLVD",
"city": "SUMTER",
"state": "SC",
"postal_code": "291501900",
"telephone_number": "803-469-7500",
"fax_number": "803-469-7521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLANUEVA",
"first_name": "JOSEPH",
"middle_name": "BORROMEO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-07-17",
"last_updated": "2014-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "SC",
"license": "36537",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2014; 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.