Individual provider Active NPI

Jaime Villarreal Jr., M.D.

  • Orthopaedic Surgery of the Spine Physician
  • Edinburg, TX
National Provider Identifier
1427316132
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X
License
Q9920 Issued in TX
Practice address
5540 Raphael Dr
Edinburg, TX 78539
Phone
(956) 362-6683
Fax
(956) 362-6818
NPI assigned
May 1, 2012
Last updated
Aug 9, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X BP10043277 TX
Orthopaedic Surgery of the Spine Physician 207XS0117X Q9920 TX Primary

Addresses

Primary practice location

5540 Raphael Dr
Edinburg, TX 78539

Mailing address

PO Box 4624
McAllen, TX 78502-4624
Phone (956) 362-6683

Other identifiers 1

IdentifierTypeStateIssuer
Q9920OtherTXTMB LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20170726001938 TX Practitioner - Orthopedic Surgery 9739459645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Texas Medical Branch at Galveston, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renaissance ProvidersGroup PAC ID 3476877879, 26 clinicians

Practice addresses (Care Compare)

5540 Raphael Dr
Edinburg, TX 78539-1407
Phone (956) 362-6683

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
77.39 of 100Reported as group
Quality
68.87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion61
Laminectomy or laminotomy (partial removal of spine bones)24
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10043277TXMDOrthopaedic Surgery Physician
Q9920TXMDOrthopaedic Surgery of the Spine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Providers Orthopaedic Surgery CurrentSince Feb 15, 2018 Accepting new patients

Locations

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

5540 Raphael Dr
Edinburg, TX 78539
Phone (956) 362-6683

Organizations & group practices 1

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.

Hospital & facility affiliations 2

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": "1335830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1427316132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4624",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785024624",
            "telephone_number": "956-362-6683",
            "fax_number": "956-362-6818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5540 RAPHAEL DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "78539",
            "telephone_number": "956-362-6683",
            "fax_number": "956-362-6818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "JAIME",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-05-01",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "TX",
            "license": "BP10043277",
            "primary": false
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "TX",
            "license": "Q9920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TMB LICENSE",
            "identifier": "Q9920",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.