NPIMap

Individual provider Active NPI

Carlos F Villamil, MD

  • Cytopathology Physician
  • Lexington, MA
National Provider Identifier
1417938705
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cytopathology PhysicianTaxonomy code 207ZC0500X
License
152633 Issued in MA
Practice address
1 Cranberry HL Ste 303
Lexington, MA 02421-7397
Phone
(781) 290-0057
Fax
(781) 290-0059
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X 152633 MA Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 152633 MA

Addresses

Primary practice location

1 Cranberry HL Ste 303
Lexington, MA 02421-7397

Mailing address

460 Totten Pond Rd
C O Mzi
Waltham, MA 02451-1906
Phone (781) 890-9933

Other identifiers 1

IdentifierTypeStateIssuer
J21067OtherMABCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cytodx Physician Services Cytopathology Past Accepting new patients
Hallmark Pathology, P.C. Past Accepting new patients
Cytodx LLC Past Accepting new patients

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1417938705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "460 TOTTEN POND RD",
            "address_2": "C O MZI",
            "city": "WALTHAM",
            "state": "MA",
            "postal_code": "024511906",
            "telephone_number": "781-890-9933",
            "fax_number": "781-890-9950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CRANBERRY HL STE 303",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024217397",
            "telephone_number": "781-290-0057",
            "fax_number": "781-290-0059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAMIL",
        "first_name": "CARLOS",
        "middle_name": "F",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "MA",
            "license": "152633",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MA",
            "license": "152633",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "J21067",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.