Individual provider Active NPI

Donna Serene Villacis, MD

  • Obstetrics & Gynecology Physician
  • Austin, TX
National Provider Identifier
1689736613
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
L8626 Issued in TX
Practice address
313 E 12TH St
Ste 104
Austin, TX 78701-1954
Phone
(409) 747-0890
NPI assigned
Dec 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X L8626 TX Primary

Addresses

Primary practice location

313 E 12TH St
Ste 104
Austin, TX 78701-1954

Mailing address

301 University Blvd
Galveston, TX 77555-5302
Phone (409) 747-0890

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
I20040804001385 TX Practitioner - Obstetrics/Gynecology 5890766695 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Sanford School of Medicine of University of South Dakota, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obhg Texas Holdings PAGroup PAC ID 3577713072, 176 clinicians

Practice addresses (Care Compare)

919 E 32ND St
Austin, TX 78705-2703
Phone (800) 967-2289

Hospital & facility affiliations

  • St David'S Medical Center Hospital, Austin, TX, CCN 450431

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatrix Medical Group of Texas Billing, Inc. Obstetrics & Gynecology CurrentSince Mar 1, 2019 Accepting new patients
Seton Family of Doctors CurrentSince Feb 1, 2014 Accepting new patients
Obhg Texas Holdings, P.a. Obstetrics & Gynecology CurrentSince Jun 1, 2020 Accepting new patients
Seton Family of Doctors Obstetrics & Gynecology CurrentSince Feb 1, 2014 Accepting new patients
University of Texas Medical Branch, Austin Initiatives at Utmb Obstetrics & Gynecology Past Accepting new patients
St. Davids Healthcare Partnership, L.P., LLP Past Accepting new patients
City of Austin Past Accepting new patients
Utmb Austin - Initiatives Past Accepting new patients
Central Texas Community Health Centers Past Accepting new patients

Locations

2811 E 2nd St
Austin, TX 78702
Phone (512) 324-4930

313 E 12th St
Ste 104
Austin, TX 78701
Phone (409) 772-7812

1400 N Interstate 35
Ste 300
Austin, TX 78701
Phone (512) 324-8300

601 E 15th St
Austin, TX 78701
Phone (512) 324-7868

12221 N Mopac Expy
Austin, TX 78758
Phone (512) 901-2530

301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883

7600 Beechnut St
Houston, TX 77074
Phone (713) 456-5000

22999 Highway 59 N
Kingwood, TX 77339
Phone (281) 348-3322

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 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": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1689736613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 UNIVERSITY BLVD",
            "city": "GALVESTON",
            "state": "TX",
            "postal_code": "775555302",
            "telephone_number": "409-747-0890",
            "fax_number": "409-772-0885"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 E 12TH ST",
            "address_2": "STE 104",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787011954",
            "telephone_number": "409-747-0890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLACIS",
        "first_name": "DONNA",
        "middle_name": "SERENE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "L8626",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.