Individual provider Active NPI

Bernard J. Villegas, MD

  • Cardiovascular Disease Physician
  • Scottsdale, AZ
National Provider Identifier
1700862885
Registry record updated Jul 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
23616 Issued in AZ
Practice address
10101 N 92ND St Ste 101
Scottsdale, AZ 85258-4553
Phone
(480) 747-6532
Fax
(480) 889-6865
NPI assigned
Dec 20, 2005
Last updated
Jul 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiac Rehabilitation Registered Nurse 163WC3500X 23616 AZ
Cardiovascular Disease Physician 207RC0000X 23616 AZ Primary

Addresses

Primary practice location

10101 N 92ND St Ste 101
Scottsdale, AZ 85258-4553

Mailing address

10101 N 92ND St Ste 101
Scottsdale, AZ 85258-4553
Phone (480) 747-6532

Other identifiers 1

IdentifierTypeStateIssuer
335043MedicaidAZ

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address bernard.villegas@cs.eclinicaldirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, NH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20100819000270 AZ Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Other (Physician) 5496889966 Reassigns benefits to 2 organizations
I20240903001387 NH Practitioner - Cardiovascular Disease (Cardiology) 5496889966 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
23616ALMDPharmacist
23616AZMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Medical Center CurrentSince Aug 7, 2024 Accepting new patients
Usha Medical Services PLC Cardiac Rehabilitation Current Accepting new patients
Catholic Medical Center Cardiovascular Disease CurrentSince Aug 7, 2024 Accepting new patients
Nassim Haddad MD PLLC Cardiac Rehabilitation CurrentSince Nov 1, 2019 Accepting new patients
Scottsdale Heart Group Cardiovascular Disease Past Accepting new patients

Locations

10101 N 92nd St
Ste 101
Scottsdale, AZ 85258
Phone (480) 860-1919

10117 N 92nd St
Ste 103
Scottsdale, AZ 85258
Phone (480) 263-0597

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

9445 E Ironwood Square Dr
Ste 110
Scottsdale, AZ 85258
Phone (480) 391-3686

100 McGregor St
Manchester, NH 03102
Phone (603) 663-6931

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690416000000",
    "number": "1700862885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10101 N 92ND ST STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584553",
            "telephone_number": "480-747-6532",
            "fax_number": "480-889-6865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10101 N 92ND ST STE 101",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584553",
            "telephone_number": "480-747-6532",
            "fax_number": "480-889-6865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEGAS",
        "first_name": "BERNARD",
        "middle_name": "J.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2023-07-27",
        "certification_date": "2023-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WC3500X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Cardiac Rehabilitation",
            "state": "AZ",
            "license": "23616",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "23616",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "335043",
            "state": "AZ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bernard.villegas@cs.eclinicaldirect.com",
            "affiliation": "N",
            "endpointDescription": "EMR",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "10101 N 92nd St Ste 101",
            "city": "Scottsdale",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "852584553",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

Verify at the official NPI Registry.