Individual provider Active NPI

Gustavo E Villarreal, M.D.

  • Family Medicine Physician
  • Alice, TX
National Provider Identifier
1649227653
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G6038 Issued in TX
Practice address
2510 E Main St Ste 108
Alice, TX 78332-4188
Phone
(361) 661-8105
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 742380876 TX
Family Medicine Physician 207Q00000X G6038 TX Primary

Addresses

Primary practice location

2510 E Main St Ste 108
Alice, TX 78332-4188

Mailing address

PO Box 846098
Dallas, TX 75284-6098
Phone (903) 606-6400

Other practice location 1

208 Shiloh Dr Ste 1
Laredo, TX 78045-7402
Phone (956) 722-8484

Other practice location 2

2510 E Main St Ste 110
Alice, TX 78332-4188
Phone (361) 664-8100

Other practice location 3

1311 E General Cavazos Blvd Ste I
Kingsville, TX 78363-7129
Phone (361) 592-5101

Other identifiers 2

IdentifierTypeStateIssuer
079740902MedicaidTX
079740901MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20230328000393 TX Practitioner - Family Practice 5496838138 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1979
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christus Trinity Clinic TexasGroup PAC ID 3072426741, 1,540 clinicians

Practice addresses (Care Compare)

1311 E General Cavazos Blvd
Kingsville, TX 78363-7123

2510 E Main St
Alice, TX 78332-4188

2520 E Main St
Alice, TX 78332-4188

620 S Fleishel Ave
Christus Trinity Clinic
Tyler, TX 75701-2041
Phone (903) 606-4900

630 S Fleishel Ave
Tyler, TX 75701-2041
Phone (903) 606-5560

PO Box
Suite 846098
Dallas, TX 75284-6098

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas Family Medicine CurrentSince May 1, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince May 1, 2023 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

2510 E Main St
Ste 108
Alice, TX 78332
Phone (361) 661-8105

2510 E Main St
Ste 110
Alice, TX 78332
Phone (361) 396-4371

1311 Gen Cvazos Blvd
Ste I
Kingsville, TX 78363
Phone (361) 592-5101

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: gvillarreal304697@christushealth.direct-ci.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1649227653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 846098",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752846098",
            "telephone_number": "903-606-6400",
            "fax_number": "903-606-1522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 E MAIN ST STE 108",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324188",
            "telephone_number": "361-661-8105"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "208 Shiloh Dr Ste 1",
            "address_purpose": "LOCATION",
            "city": "Laredo",
            "state": "TX",
            "postal_code": "780457402",
            "country_code": "US",
            "telephone_number": "956-722-8484",
            "fax_number": "956-727-8494",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2510 E Main St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Alice",
            "state": "TX",
            "postal_code": "783324188",
            "country_code": "US",
            "telephone_number": "361-664-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1311 E General Cavazos Blvd Ste I",
            "address_purpose": "LOCATION",
            "city": "Kingsville",
            "state": "TX",
            "postal_code": "783637129",
            "country_code": "US",
            "telephone_number": "361-592-5101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "GUSTAVO",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "742380876",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "G6038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079740902",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "079740901",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alice, TX

Sources for this page

Verify at the official NPI Registry.