Individual provider Active NPI

Ricardo Dejesus Villafana, MD

  • Family Medicine Physician
  • Live Oak, TX
National Provider Identifier
1609873371
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G5733 Issued in TX
Practice address
12315 Judson Rd Ste 110
Live Oak, TX 78233-3263
Phone
(210) 304-3500
Fax
(210) 337-2909
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G5733 TX Primary

Addresses

Primary practice location

12315 Judson Rd Ste 110
Live Oak, TX 78233-3263

Mailing address

12315 Judson Rd Ste 110
Live Oak, TX 78233-3263
Phone (210) 566-8332

Other identifiers 2

IdentifierTypeStateIssuer
86367FOtherTXWELLMED MEDICARE
1228900-06OtherTXWELLMED MEDICAID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Veda Medical, LLC Past Accepting new patients
Texas Multispecialty Clinics PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: ricardo.villafana@wellmed.eclinicaldirectplus.com

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1609873371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12315 JUDSON RD STE 110",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333263",
            "telephone_number": "210-566-8332",
            "fax_number": "210-682-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12315 JUDSON RD STE 110",
            "city": "LIVE OAK",
            "state": "TX",
            "postal_code": "782333263",
            "telephone_number": "210-304-3500",
            "fax_number": "210-337-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAFANA",
        "first_name": "RICARDO",
        "middle_name": "DEJESUS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G5733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICARE",
            "identifier": "86367F",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMED MEDICAID",
            "identifier": "1228900-06",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Live Oak, TX

Sources for this page

Verify at the official NPI Registry.