Individual provider Active NPI

Vanessa Villar, MD

  • Family Medicine Physician
  • Elkton, MD
National Provider Identifier
1639136104
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
D003469 Issued in MD
Practice address
361 Fair Hill Dr
Elkton, MD 21921-2512
Phone
(410) 620-7260
Fax
(410) 620-7262
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2013

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 D003469 MD Primary

Addresses

Primary practice location

361 Fair Hill Dr
Elkton, MD 21921-2512

Mailing address

PO Box 190
Elkton, MD 21922-0190
Phone (410) 398-4679

Other identifiers 1

IdentifierTypeStateIssuer
P00275555OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20050927000447 MD Practitioner - Family Practice 5092749275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

361 Fair Hill Dr
Elkton, MD 21921-2512
Phone (410) 620-7260

Hospital & facility affiliations

  • Amedisys Home Health Home health agency, Elkton, MD, CCN 217151
  • Bayada Home Health Care, Inc. Home health agency, Towson, MD, CCN 217101
  • Union Hospital of Cecil County Hospital, Elkton, MD, CCN 210032
  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Chester County Hospital Hospital, West Chester, PA, CCN 390179

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D003469MDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wolf Medical Group, LLC Family Medicine CurrentSince Sep 1, 2020 Accepting new patients
Fairhill Family Medicine Specialists, LLC Family Medicine CurrentSince Aug 15, 2005 Accepting new patients

Locations

361 Fair Hill Dr
Elkton, MD 21921
Phone (410) 620-7260

Interoperability endpoints

  • Direct secure messaging: vanessavillar@ffm.allscriptsdirect.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.

Hospital & facility affiliations 8

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358208000000",
    "number": "1639136104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 190",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219220190",
            "telephone_number": "410-398-4679",
            "fax_number": "410-620-3686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 FAIR HILL DR",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219212512",
            "telephone_number": "410-620-7260",
            "fax_number": "410-620-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAR",
        "first_name": "VANESSA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2013-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MD",
            "license": "D003469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00275555",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

Verify at the official NPI Registry.