Individual provider Active NPI

Venus L Villalva, MD

  • Pediatrics Physician
  • Helena, MT
National Provider Identifier
1568575694
Registry record updated Jan 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
47920991205 Issued in UT
Practice address
2525 E Broadway St
Suite 101
Helena, MT 59601-8049
Phone
(406) 447-2885
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2012

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 47920991205 UT Primary

Addresses

Primary practice location

2525 E Broadway St
Suite 101
Helena, MT 59601-8049

Mailing address

2525 E Broadway St
Suite 101
Helena, MT 59601-8049
Phone (406) 447-2885

Other names 1

  • Venus Wilke Former name

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
47920991205UTMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Department of Pediatrics University of Utah Pediatrics Past Accepting new patients
Partners in Pediatrics P.C. Pediatrics Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: vvillalva@piphelena.opdirect.net

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.

NPI Registry JSON

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

{
    "created_epoch": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327881600000",
    "number": "1568575694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 E BROADWAY ST",
            "address_2": "SUITE 101",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018049",
            "telephone_number": "406-447-2885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 E BROADWAY ST",
            "address_2": "SUITE 101",
            "city": "HELENA",
            "state": "MT",
            "postal_code": "596018049",
            "telephone_number": "406-447-2885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALVA",
        "first_name": "VENUS",
        "middle_name": "L",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2012-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "UT",
            "license": "47920991205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VENUS",
            "last_name": "WILKE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Helena, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2012; 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.