Individual provider Active NPI

Jose D Villagra, MD

  • Pediatrics Physician
  • Wheaton, MD
National Provider Identifier
1528139771
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
D0059258 Issued in MD
Practice address
2730 University Blvd W Ste 410
Wheaton, MD 20902-1972
Phone
(240) 669-6330
Fax
(240) 669-6757
NPI assigned
Nov 10, 2006
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X D0059258 MD Primary

Addresses

Primary practice location

2730 University Blvd W Ste 410
Wheaton, MD 20902-1972

Mailing address

2730 University Blvd W Ste 410
Wheaton, MD 20902-1972
Phone (240) 669-6330

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

LicenseStateTypeSpecialty
D0059258MDMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Right Care Medicine LLC CurrentSince Apr 1, 2024 Accepting new patients
Right Care Pediatrics Inc Pediatrics CurrentSince Apr 25, 2021 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Children's Hospital Past Accepting new patients

Locations

2730 University Blvd W
Ste 410
Wheaton, MD 20902
Phone (240) 669-6330

2730 University Blvd W
Ste 420
Wheaton, MD 20902
Phone (240) 669-6330

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 4

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": "1163116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1528139771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 UNIVERSITY BLVD W STE 410",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209021972",
            "telephone_number": "240-669-6330",
            "fax_number": "240-669-6757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2730 UNIVERSITY BLVD W STE 410",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209021972",
            "telephone_number": "240-669-6330",
            "fax_number": "240-669-6757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAGRA",
        "first_name": "JOSE",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-10",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MD",
            "license": "D0059258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.