NPIMap

Individual provider Active NPI

Ruben Dario Villa, M.D.

  • Nephrology Physician
  • Lubbock, TX
National Provider Identifier
1659367647
Registry record updated Jun 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
M0958 Issued in TX
Practice address
5424 19TH St # 403
Lubbock, TX 79407-2162
Phone
(806) 368-8782
Fax
(806) 368-8361
NPI assigned
Sep 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X M0958 TX Primary
Specialist 174400000X M0958 TX

Addresses

Primary practice location

5424 19TH St # 403
Lubbock, TX 79407-2162

Mailing address

5424 19TH St Ste 403
Lubbock, TX 79407-2162
Phone (063) 688-7828

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050329000983 NM Practitioner - Internal MedicinePractitioner - Nephrology 4880640291 Reassigns benefits to 1 organization
I20050624000493 TX Practitioner - NephrologyPractitioner - Internal Medicine 4880640291 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Nephrology
Education
Texas Tech University Health Science Center School of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kidney Disease AssociatesGroup PAC ID 2264405489, 2 clinicians

Practice addresses (Care Compare)

2728 N Dal Paso
Hobbs, NM 88240-2043
Phone (505) 392-1014

5424 19TH St
Lubbock, TX 79407-2162
Phone (806) 368-6391

Hospital & facility affiliations

  • 322521 Hobbs Dialysis (FMC) Dialysis facility, Hobbs, NM, CCN 322521
  • Fresenius Medical Care Lubbock Dialysis facility, Lubbock, TX, CCN 452568
  • 322529 Carlsbad Dialysis (FMC) Dialysis facility, Carlsbad, NM, CCN 322529
  • West Texas Dialysis Center Dialysis facility, Big Spring, TX, CCN 452604
  • FKC Northeast Lubbock Dialysis facility, Lubbock, TX, CCN 742599
  • Covenant Medical Center Hospital, Lubbock, TX, CCN 450040
  • Nor-Lea Hospital District Hospital, Lovington, NM, CCN 321305
  • Grace Surgical Hospital Hospital, Lubbock, TX, CCN 450162
  • University Medical Center Hospital, Lubbock, TX, CCN 450686
  • Covenant Health Hobbs Hospital Hospital, Hobbs, NM, CCN 320065

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hub City Surgery Center, LLC CurrentSince Jun 1, 2022 Accepting new patients
The Kidney Care Center, LLC CurrentSince Aug 5, 2009 Accepting new patients
Lubbock Kidney & Blood Pressure Clinic P a Nephrology CurrentSince Aug 5, 2009 Accepting new patients
Fresenius Medical Care Lubbock, LLC PastSince Aug 8, 2021 Accepting new patients
Virtua Medical Group, PA Past Accepting new patients
Lea Emergency Group LLC Past Accepting new patients
Lubbock Interventional Nephrology Associates PA PastSince Jan 4, 2017 Accepting new patients

Locations

42121 US Highway 70
Portales, NM 88130
Phone (505) 226-3627

2232 Indiana Ave
Ste 1
Lubbock, TX 79410
Phone (806) 395-4705

1126 Slide Rd
Unit 4B
Lubbock, TX 79416
Phone (806) 793-8447

Interoperability endpoints

  • Direct secure messaging: rubenvillamd@drvilla.ssdirect.aprima.com
  • Direct secure messaging: ruben.villa.p159@direct.lifelinevascular.nextgenshare.com
  • Direct secure messaging: ruben.villa@direct.myteamcare.com

Organizations & group practices 9

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717459200000",
    "number": "1659367647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5424 19TH ST STE 403",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072162",
            "telephone_number": "063-688-7828",
            "fax_number": "806-367-8361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5424 19TH ST # 403",
            "city": "LUBBOCK",
            "state": "TX",
            "postal_code": "794072162",
            "telephone_number": "806-368-8782",
            "fax_number": "806-368-8361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLA",
        "first_name": "RUBEN",
        "middle_name": "DARIO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2024-06-04",
        "certification_date": "2024-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "M0958",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "M0958",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lubbock, TX

Sources for this page

Verify at the official NPI Registry.