Individual provider Active NPI

Miguel Angel Villagra-Diaz, MD

  • Hospitalist Physician
  • Carson City, NV
National Provider Identifier
1609006410
Registry record updated Jan 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
18117 Issued in NV
Practice address
1600 Medical Pkwy
Carson City, NV 89703-4625
Phone
(775) 445-8795
Fax
(775) 445-5175
NPI assigned
Jul 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X E-7628 AR
Hospitalist Physician 208M00000X Q8381 TX
Hospitalist Physician 208M00000X 18117 NV Primary

Addresses

Primary practice location

1600 Medical Pkwy
Carson City, NV 89703-4625

Mailing address

2415 Buttermere CT
Reno, NV 89521-4517
Phone (915) 502-8416

Other practice location 1

1710 Harrison St
Batesville, AR 72501
Phone (870) 262-1200

Other practice location 2

235 W 6th St
Reno, NV 89503-4548
Phone (775) 770-6490

Other identifiers 2

IdentifierTypeStateIssuer
1609006410OtherARNPI NUMBER
E-7628OtherARLICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, NV2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180112001906 SC Practitioner - Hospitalist 2769639673 Reassigns benefits to 1 organization
I20180920002679 NV Practitioner - HospitalistPractitioner - Internal Medicine 2769639673 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kandu Medical Services West PCGroup PAC ID 4082050711, 6 clinicians

Practice addresses (Care Compare)

1600 Medical Pkwy
Carson City, NV 89703-4625
Phone (775) 220-9149

2415 Buttermere CT
Reno, NV 89521-4517
Phone (833) 526-3848

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Care Talk Health FL PA CurrentSince Mar 1, 2024 Accepting new patients
Ap US 14, PA Internal Medicine CurrentSince Oct 21, 2023 Accepting new patients
Total Life Inc. CurrentSince Feb 5, 2025 Accepting new patients
Kandu Medical Services West PC CurrentSince May 1, 2024 Accepting new patients
Solace Health Medical Group Inc Family Medicine CurrentSince Feb 5, 2025 Accepting new patients
Access Telecare, PLLC Family Medicine CurrentSince Dec 1, 2021 Accepting new patients
Usacs Integrated Acute Care Services of Nevada Bagnoli P C Hospitalist CurrentSince Aug 20, 2018 Accepting new patients
Cogent Healthcare of Georgia PC Family Medicine CurrentSince Oct 28, 2017 Accepting new patients
Care Talk Health Ca PC Past Accepting new patients
Carson Tahoe Regional Healthcare Past Accepting new patients
Neurolutions Inc PastSince Feb 18, 2024 Accepting new patients

Locations

20715 N Pima Rd
Ste 108
Scottsdale, AZ 85255
Phone (281) 944-5692

210 E Hacienda Ave
Campbell, CA 95008
Phone (408) 874-1823

401 Warren St
Ste 300
Redwood City, CA 94063
Phone (650) 365-9997

7033 Hayvenhurst Ave
Ste A
Van Nuys, CA 91406

7033 Hayvenhurst Ave
Van Nuys, CA 91406
Phone (831) 295-6139

332 S Michigan Ave
Ste 900
Chicago, IL 60604
Phone (813) 395-1073

4849 Rugby Ave
Bethesda, MD 20814
Phone (240) 817-7500

1600 Medical Pkwy
Carson City, NV 89703
Phone (775) 220-9149

3100 N Tenaya Way
Las Vegas, NV 89128
Phone (702) 225-5025

501 S Rancho Dr
Ste D20
Las Vegas, NV 89106

5470 Kietzke Ln
Ste 300
Reno, NV 89511
Phone (775) 338-7099

470 Olde Worthington Rd
Ste 200
Westerville, OH 43082
Phone (614) 340-7587

302 University Pkwy
Aiken, SC 29801
Phone (803) 279-3940

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

2025 Guadalupe St
Ste 260
Austin, TX 78705
Phone (508) 658-3489

1717 Main St
Ste 5850
Dallas, TX 75201
Phone (469) 694-5512

Interoperability endpoints

  • Direct secure messaging: miguel.villagra-diaz.1@14883.direct.athenahealth.com

Organizations & group practices 12

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 4

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": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674864000000",
    "number": "1609006410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2415 BUTTERMERE CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895214517",
            "telephone_number": "915-502-8416",
            "fax_number": "915-502-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 MEDICAL PKWY",
            "city": "CARSON CITY",
            "state": "NV",
            "postal_code": "897034625",
            "telephone_number": "775-445-8795",
            "fax_number": "775-445-5175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 Harrison St",
            "address_purpose": "LOCATION",
            "city": "Batesville",
            "state": "AR",
            "postal_code": "72501",
            "country_code": "US",
            "telephone_number": "870-262-1200",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "235 W 6th St",
            "address_purpose": "LOCATION",
            "city": "Reno",
            "state": "NV",
            "postal_code": "895034548",
            "country_code": "US",
            "telephone_number": "775-770-6490",
            "fax_number": "775-770-3944",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLAGRA-DIAZ",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2023-01-28",
        "certification_date": "2023-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AR",
            "license": "E-7628",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "Q8381",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "NV",
            "license": "18117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI NUMBER",
            "identifier": "1609006410",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "E-7628",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carson City, NV

Sources for this page

Verify at the official NPI Registry.