Individual provider Active NPI

Antonio Nathan Villamor III, M.D.

  • Colon & Rectal Surgery Physician
  • Pearland, TX
National Provider Identifier
1508220427
Registry record updated May 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
U3048 Issued in TX
Practice address
10970 Shadow Creek Pkwy Ste 270
Pearland, TX 77584-0121
Phone
(832) 220-3018
Fax
(833) 954-3894
NPI assigned
Apr 6, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X U3048 TX
Colon & Rectal Surgery Physician 208C00000X U3048 TX Primary

Addresses

Primary practice location

10970 Shadow Creek Pkwy Ste 270
Pearland, TX 77584-0121

Mailing address

PO Box 911230
Dallas, TX 75391-0101
Phone (972) 997-8000

Other practice location 1

4000 Spencer Hwy Ste 200
Pasadena, TX 77504-1202
Phone (832) 220-3018

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
I20230725001993 TX Practitioner - Colorectal Surgery (Proctology) 7012378920 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)
Education
State University of New York at Stony Brook, School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Texas Oncology PAGroup PAC ID 5395658934, 1,001 clinicians

Practice addresses (Care Compare)

10970 Shadow Creek Pkwy
Suite 270
Pearland, TX 77584-0121
Phone (832) 220-3018

Hospital & facility affiliations

  • HCA Houston Healthcare Southeast Hospital, Pasadena, TX, CCN 450097
  • HCA Houston Healthcare Clear Lake Hospital, Webster, TX, CCN 450617
  • HCA Houston Healthcare Pearland Hospital, Pearland, TX, CCN 670106

Merit-based Incentive Payment System (MIPS)

Final score
85.12 of 100Reported as apm
Quality
67.48
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy12
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
U3048TXMDColon & Rectal Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Oncology PA Surgery Current Accepting new patients
Texas Oncology PA Surgery CurrentSince Sep 1, 2023 Accepting new patients
Texas Oncology PA Surgery Current Accepting new patients

Locations

7848 Gateway Blvd E
El Paso, TX 79915
Phone (915) 599-1313

925 Gessner Rd
Ste 550
Houston, TX 77024
Phone (713) 467-1722

2026 S Jackson St
Jacksonville, TX 75766
Phone (903) 541-4500

4000 Spencer Hwy
#200
Pasadena, TX 77504
Phone (713) 378-0330

10970 Shadow Creek Pkwy
Ste 280
Pearland, TX 77584
Phone (713) 436-7500

10970 Shadow Creek Pkwy
Ste 130
Pearland, TX 77584
Phone (713) 610-4270

10970 Shadow Creek Pkwy
Ste 270
Pearland, TX 77584
Phone (713) 840-5210

6807 Emmett F Lowry Expy
Ste 304
Texas City, TX 77591
Phone (409) 935-8755

Interoperability endpoints

  • Direct secure messaging: antonio.villamor.1@421.direct.athenahealth.com
  • Direct secure messaging: avillamor67208@direct.phhs.org

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.

Hospital & facility affiliations 3

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": "1459900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715731200000",
    "number": "1508220427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 911230",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753910101",
            "telephone_number": "972-997-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10970 SHADOW CREEK PKWY STE 270",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775840121",
            "telephone_number": "832-220-3018",
            "fax_number": "833-954-3894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4000 Spencer Hwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Pasadena",
            "state": "TX",
            "postal_code": "775041202",
            "country_code": "US",
            "telephone_number": "832-220-3018",
            "fax_number": "833-954-3894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLAMOR",
        "first_name": "ANTONIO",
        "middle_name": "NATHAN",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-06",
        "last_updated": "2024-05-15",
        "certification_date": "2024-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "TX",
            "license": "U3048",
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "TX",
            "license": "U3048",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearland, TX

Sources for this page

Verify at the official NPI Registry.