Individual provider Active NPI

Alfonso Villamil, MD

  • Hematology & Oncology Physician
  • Corpus Christi, TX
National Provider Identifier
1669451548
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
K1120 Issued in TX
Practice address
1625 Rodd Field Rd
Suite C
Corpus Christi, TX 78412-4926
Phone
(361) 887-0067
Fax
(361) 883-1484
NPI assigned
Jan 10, 2006
Last updated
Jul 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X K1120 TX Primary

Addresses

Primary practice location

1625 Rodd Field Rd
Suite C
Corpus Christi, TX 78412-4926

Mailing address

PO Box 81346
Corpus Christi, TX 78468-1346
Phone (361) 887-0067

Other identifiers 3

IdentifierTypeStateIssuer
5275216OtherTXAETNA
8G2170OtherTXBLUE CROSS BLUE SHIELD
045303702MedicaidTX

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
I20100305000754 TX Practitioner - Hematology/Oncology 8729126313 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Bend Cancer Center, PAGroup PAC ID 6002954690, 6 clinicians

Practice addresses (Care Compare)

1625 Rodd Field Rd
Suite 100
Corpus Christi, TX 78412-4926
Phone (361) 887-0067

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Bend Cancer Center, PA Hematology & Oncology CurrentSince Aug 1, 2002 Accepting new patients
Coastal Bend Cancer Center Pharmacy LLC PastSince Nov 24, 2019 Accepting new patients

Locations

1625 Rodd Field Rd
#100
Corpus Christi, TX 78412
Phone (361) 887-0067

5701 Spid Dr
Corpus Christi, TX 78412
Phone (361) 334-5130

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1669451548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 81346",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784681346",
            "telephone_number": "361-887-0067",
            "fax_number": "361-883-1484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 RODD FIELD RD",
            "address_2": "SUITE C",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784124926",
            "telephone_number": "361-887-0067",
            "fax_number": "361-883-1484"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAMIL",
        "first_name": "ALFONSO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "K1120",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5275216",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "8G2170",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045303702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

Verify at the official NPI Registry.