Individual provider Active NPI

Gustavo V. Villegas, M.D.

  • Urology Physician
  • Edinburg, TX
National Provider Identifier
1710207378
Registry record updated Feb 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
Q5296 Issued in TX
Practice address
2603 Michael Angelo Dr
Edinburg, TX 78539-1417
Phone
(956) 362-8767
Fax
(956) 362-2548
NPI assigned
Jun 7, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X Q5296 TX Primary

Addresses

Primary practice location

2603 Michael Angelo Dr
Edinburg, TX 78539-1417

Mailing address

2603 Michael Angelo Dr
Edinburg, TX 78539-1417
Phone (956) 362-8767

Other identifiers 2

IdentifierTypeStateIssuer
349165602MedicaidTX
349165601MedicaidTX

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
I20150917000089 TX Practitioner - Urology 4082921457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Boston University School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renaissance Surgery GroupGroup PAC ID 9234384769, 20 clinicians

Practice addresses (Care Compare)

2603 W Michaelangelo Dr
Edinburg, TX 78539-1417
Phone (956) 362-8767

Hospital & facility affiliations

  • Doctors Hosptal at Renaissance Hospital, Edinburg, TX, CCN 450869
  • Mission Regional Medical Center Hospital, Mission, TX, CCN 450176

Merit-based Incentive Payment System (MIPS)

Final score
99.46 of 100Reported as group
Quality
83.64
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
Q5296TXMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Renaissance Urology Centers PA Urology Current Accepting new patients
Renaissance Surgery Group Urology CurrentSince Sep 1, 2015 Accepting new patients

Locations

4770 N Expressway
Ste 305A
Brownsville, TX 78526
Phone (956) 362-3980

2603 W Michaelangelo Dr
Edinburg, TX 78539
Phone (956) 362-8767

5501 S McColl Rd
Edinburg, TX 78539
Phone (956) 362-3300

101 N FM 3167
Ste 106
Rio Grande City, TX 78582
Phone (956) 352-1431

137 N FM 3167 Ste 200
Rio Grande City, TX 78582

505 Angelita Dr
Ste 19
Weslaco, TX 78599
Phone (956) 362-3720

505 Angelita Dr
Ste 14
Weslaco, TX 78599
Phone (956) 362-3720

Interoperability endpoints

  • Direct secure messaging: gustavovillegas@uiar.medalliesdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 4

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": "1275868800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519603200000",
    "number": "1710207378",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 MICHAEL ANGELO DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391417",
            "telephone_number": "956-362-8767",
            "fax_number": "956-362-2548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 MICHAEL ANGELO DR",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785391417",
            "telephone_number": "956-362-8767",
            "fax_number": "956-362-2548"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEGAS",
        "first_name": "GUSTAVO",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-07",
        "last_updated": "2018-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TX",
            "license": "Q5296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349165602",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "349165601",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

Verify at the official NPI Registry.