Active NPI
Xavier Villa, M.D.
- Pediatric Gastroenterology Physician
- Huntington, WV
National Provider Identifier
1659381853
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 28403
- Practice address
- 1600 Medical Center Dr Ste 3500
Huntington, WV 25701 - Phone
- (304) 691-1300
- NPI assigned
- Aug 9, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Critical Care Medicine Physician | 2080P0203X | K8856 | TX | |
| Pediatrics Physician | 208000000X | K8856 | TX | |
| Pediatric Gastroenterology Physician | 2080P0206X | K8856 | TX | |
| Pediatric Gastroenterology Physician | 2080P0206X | 28403 | WV | Primary |
Addresses
Primary practice location
1600 Medical Center Dr Ste 3500
Huntington, WV 25701
Mailing address
1448 10TH Ave Ste 304
Huntington, WV 25701-3579
Phone (304) 691-8722
Other practice location 1
21212 Northwest Fwy Ste 235
Cypress, TX 77429-5885
Phone (832) 334-4004
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | xavier.villa@marshall.cernerdirect.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K8856 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Physicians & Surgeons, Inc. | Current | Accepting new patients | |
| University Physicians & Surgeons, Inc | Pediatrics | Current | Accepting new patients |
| Utmb Faculty Group Practice | Pediatrics | Past | Accepting new patients |
Locations
1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300
1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381
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.
-
- Internal Medicine Physician
- Huntington, WV
- NPI 1730183286
Pediatrics
-
- Health & Wellness Coach
- Louisa, KY
- NPI 1073256665
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155081600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1639958400000",
"number": "1659381853",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1448 10TH AVE STE 304",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "257013579",
"telephone_number": "304-691-8722"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 MEDICAL CENTER DR STE 3500",
"city": "HUNTINGTON",
"state": "WV",
"postal_code": "25701",
"telephone_number": "304-691-1300"
}
],
"practiceLocations": [
{
"address_1": "21212 Northwest Fwy Ste 235",
"address_purpose": "LOCATION",
"city": "Cypress",
"state": "TX",
"postal_code": "774295885",
"country_code": "US",
"telephone_number": "832-334-4004",
"fax_number": "832-334-4005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLA",
"first_name": "XAVIER",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-09",
"last_updated": "2021-12-20",
"certification_date": "2021-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0203X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Critical Care Medicine",
"state": "TX",
"license": "K8856",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "K8856",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "TX",
"license": "K8856",
"primary": false
},
{
"code": "2080P0206X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Gastroenterology",
"state": "WV",
"license": "28403",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "xavier.villa@marshall.cernerdirect.com",
"affiliation": "N",
"address_1": "1600 Medical Center Dr Ste 3500",
"city": "Huntington",
"state": "WV",
"country_code": "US",
"postal_code": "25701",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Huntington, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.