Individual provider Active NPI

Anthony Villarosa, MD

  • Emergency Medicine Physician
  • Sagamore Hills, OH
National Provider Identifier
1619916442
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
35068418 Issued in OH
Practice address
863 W Aurora Rd
Sagamore Hills, OH 44067-1603
Phone
(330) 468-0190
NPI assigned
Jun 6, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 35068418 OH Primary

Addresses

Primary practice location

863 W Aurora Rd
Sagamore Hills, OH 44067-1603

Mailing address

34600 Forest LN
Solon, OH 44139-1436

Other identifiers 3

IdentifierTypeStateIssuer
P00321162OtherOHMEDICARE TRAVELERS RR-GA
942460636415OtherOHCARESOURCE
0164727MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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 1

Enrollment IDStateProvider typePAC IDDetails
I20060706000027 OH Practitioner - Emergency Medicine 6406868702 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35068418OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Professional Services, Inc. Emergency Medicine CurrentSince May 1, 2006 Accepting new patients
Clinic Regional Physicians LLC Emergency Medicine Past Accepting new patients
The Cleveland Clinic Foundation Past Accepting new patients

Locations

1730 W 25th St
Cleveland, OH 44113
Phone (216) 696-4300

18901 Lake Shore Blvd
Euclid, OH 44119
Phone (216) 531-9000

6780 Mayfield Rd
Mayfield Hts, OH 44124
Phone (440) 331-9520

18697 Bagley Rd
Middleburg Heights, OH 44130
Phone (440) 816-8000

850 Columbia Rd
Ste 105
Westlake, OH 44145
Phone (440) 250-5737

Interoperability endpoints

  • Direct secure messaging: avillarosa@direct.swgeneral.com

Organizations & group practices 3

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619916442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34600 FOREST LN",
            "city": "SOLON",
            "state": "OH",
            "postal_code": "441391436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "863 W AURORA RD",
            "city": "SAGAMORE HILLS",
            "state": "OH",
            "postal_code": "440671603",
            "telephone_number": "330-468-0190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAROSA",
        "first_name": "ANTHONY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35068418",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE TRAVELERS RR-GA",
            "identifier": "P00321162",
            "state": "OH"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARESOURCE",
            "identifier": "942460636415",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0164727",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sagamore Hills, OH

Sources for this page

Verify at the official NPI Registry.