Active NPI
Leonardo Villegas, M.D.
- Surgical Oncology Physician
- Pensacola, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Oncology Physician
- License
- ME110757
- Practice address
- 730 Bayfront Pkwy Ste 5a
Pensacola, FL 32502-6250 - Phone
- (850) 432-5488
- Fax
- (850) 432-5228
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2009-01041 | NC | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Surgical Oncology Physician | 2086X0206X | ME110757 | FL | Primary |
Addresses
Primary practice location
730 Bayfront Pkwy Ste 5a
Pensacola, FL 32502-6250
Mailing address
4205 Belfort Rd Ste 4015
Jacksonville, FL 32216-3623
Phone (904) 450-6014
Other practice location 1
550 Redstone Ave W Ste 200A
Crestview, FL 32536-6428
Phone (850) 432-5488
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14FC8 | Other | FL | BCBSFL |
| 592-21627 | Other | AL | BCBS |
| 003997200 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Surgical Oncology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
550 W Redstone Ave
Suite 200
Crestview, FL 32536-6429
Phone (850) 682-6122
Hospital & facility affiliations
- Sacred Heart Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2009-01041 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sacred Heart Health System, Inc. | Current | Accepting new patients | |
| Sacred Heart Medical Group | Surgical Oncology | Current | Accepting new patients |
| Sacred Heart Health System, Inc. | Past | Accepting new patients |
Locations
550 Redstone Ave W
Ste 200
Crestview, FL 32536
Phone (850) 682-6122
4205 Belfort Rd
Ste 4015
Jacksonville, FL 32216
Phone (904) 296-5691
4451 Bayou Blvd
Pensacola, FL 32503
Phone (850) 416-7619
730 Bayfront Pkwy
Ste 4A
Pensacola, FL 32502
Phone (850) 432-5488
Interoperability endpoints
- leonardo.villegas.1@9582.direct.athenahealth.com
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.
-
- Ambulatory Family Planning Facility
- Pensacola, FL
- NPI 1962453308
-
- Surgical Oncology Physician
- Pensacola, FL
- NPI 1003588344
-
- Primary Care Clinic/Center
- Pensacola, FL
- NPI 1043261498
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Pensacola, FL
- NPI 1922032424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582243200000",
"number": "1508934555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4205 BELFORT RD STE 4015",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322163623",
"telephone_number": "904-450-6014",
"fax_number": "904-450-6401"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "730 BAYFRONT PKWY STE 5A",
"city": "PENSACOLA",
"state": "FL",
"postal_code": "325026250",
"telephone_number": "850-432-5488",
"fax_number": "850-432-5228"
}
],
"practiceLocations": [
{
"address_1": "550 Redstone Ave W Ste 200A",
"address_purpose": "LOCATION",
"city": "Crestview",
"state": "FL",
"postal_code": "325366428",
"country_code": "US",
"telephone_number": "850-432-5488",
"fax_number": "850-432-5228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLEGAS",
"first_name": "LEONARDO",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "2009-01041",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2086X0206X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Oncology",
"state": "FL",
"license": "ME110757",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSFL",
"identifier": "14FC8",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "592-21627",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003997200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Pensacola, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.