Active NPI
Steven Donaciano Villegas, M.D.
- Internal Medicine Physician
- Edgewood, KY
National Provider Identifier
1457415176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 35720
- Practice address
- 3005 Dixie Hwy Ste 20
Edgewood, KY 41017-2380 - Phone
- (859) 426-1000
- Fax
- (859) 426-7107
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 | 35720 | KY | Primary |
Addresses
Primary practice location
3005 Dixie Hwy Ste 20
Edgewood, KY 41017-2380
Mailing address
3005 Dixie Hwy Ste 20
Edgewood, KY 41017-2380
Phone (859) 426-1000
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35720 | KY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Doctors Urgent Care Offices Medical Group Inc | Past | Accepting new patients | |
| CG Medical Associates Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Urgent Care Clinic/Center
- Erlanger, KY
- NPI 1447294277
-
- Urgent Care Clinic/Center
- Cincinnati, OH
- NPI 1982903951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166572800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457415176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3005 DIXIE HWY STE 20",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410172380",
"telephone_number": "859-426-1000",
"fax_number": "859-426-7107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3005 DIXIE HWY STE 20",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410172380",
"telephone_number": "859-426-1000",
"fax_number": "859-426-7107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLEGAS",
"first_name": "STEVEN",
"middle_name": "DONACIANO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-12-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "35720",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Edgewood, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.