Individual provider Active NPI

Edna Karina Villegas, PA-C

  • Physician Assistant
  • Cypress, TX
National Provider Identifier
1427475888
Registry record updated May 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA09097 Issued in TX
Practice address
20403 FM 529 Rd Ste 200
Cypress, TX 77433-5379
Phone
(281) 656-4041
NPI assigned
Mar 24, 2014
Last updated
May 3, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA09097 TX Primary

Addresses

Primary practice location

20403 FM 529 Rd Ste 200
Cypress, TX 77433-5379

Mailing address

1410 S Fry Rd
Katy, TX 77450-4319
Phone (972) 957-3000

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160629001063 TX Practitioner - Physician Assistant 7517188105 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Alice a Sanchez, MD, PAGroup PAC ID 2769538073, 5 clinicians

Practice addresses (Care Compare)

3550 Parkwood Blvd
Suite 705
Frisco, TX 75034-1920
Phone (214) 705-2246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiology Center of Houston PA PastSince Jan 6, 2022 Accepting new patients
Topcare Medical Group Inc PastSince Mar 27, 2022 Accepting new patients
Post Oaks Care Center Inc Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CEDECA

Organizations & group practices 5

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525305600000",
    "number": "1427475888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 S FRY RD",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774504319",
            "telephone_number": "972-957-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20403 FM 529 RD STE 200",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774335379",
            "telephone_number": "281-656-4041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEGAS",
        "first_name": "EDNA",
        "middle_name": "KARINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2018-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA09097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cypress, TX

Sources for this page

Verify at the official NPI Registry.