Active NPI
Maria Acosta-Villarreal, M.D.
- Internal Medicine Physician
- Saint Louis, MO
National Provider Identifier
1578936910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 103865
- Practice address
- 13276 Manchester Rd
Saint Louis, MO 63131-1706 - Phone
- (314) 822-9733
- Fax
- (314) 822-9838
- NPI assigned
- Nov 6, 2015
- Last updated
- Nov 6, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 103865 | MO | Primary |
Addresses
Primary practice location
13276 Manchester Rd
Saint Louis, MO 63131-1706
Mailing address
13276 Manchester Rd
Saint Louis, MO 63131-1706
Phone (314) 822-9733
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 103865 | Other | MO | STATE BOARD OF REGISTRATION FOR THE HEALING ARTS |
Other names 1
- Maria Luisa Acosta
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103865 | MO | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Gastroenterology Consultants. P.C. | Past | Accepting new patients | |
| Midwest Gastroenterology Consultants, P.C. | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Saint Louis, MO
- NPI 1790974244
-
- Gastroenterology Physician
- Saint Louis, MO
- NPI 1093961351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1446768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1446768000000",
"number": "1578936910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13276 MANCHESTER RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631311706",
"telephone_number": "314-822-9733",
"fax_number": "314-822-9838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13276 MANCHESTER RD",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631311706",
"telephone_number": "314-822-9733",
"fax_number": "314-822-9838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ACOSTA-VILLARREAL",
"first_name": "MARIA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-06",
"last_updated": "2015-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MO",
"license": "103865",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE BOARD OF REGISTRATION FOR THE HEALING ARTS",
"identifier": "103865",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MARIA",
"last_name": "ACOSTA",
"middle_name": "LUISA",
"credential": "M.D.",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Saint Louis, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.