Active NPI
Teresita Villasis, M.D.
- Family Medicine Physician
- Dowagiac, MI
National Provider Identifier
1710970488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 4301062539
- Practice address
- 310 S Front St
Dowagiac, MI 49047-1740 - Phone
- (269) 782-8696
- Fax
- (269) 782-0816
- NPI assigned
- Aug 26, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 4301062539 | MI | Primary |
Addresses
Primary practice location
310 S Front St
Dowagiac, MI 49047-1740
Mailing address
1010 Westwood Dr
Saint Joseph, MI 49085-3534
Phone (269) 428-9301
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08-0-14-0008-1 | Other | MI | BCBSM |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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 |
|---|---|---|---|
| 4301062539 | MI | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ascension Borgess Lee Hospital | Current | Accepting new patients | |
| Ascension Borgess Lee Hospital | Current | Accepting new patients | |
| Borgess Lee Memorial Hospital | Past | Accepting new patients | |
| Ascension Borgess Lee Hospital | Past | Accepting new patients |
Locations
520 Main St
Dowagiac, MI 49047
Phone (269) 390-0536
420 W High St
Dowagiac, MI 49047
Phone (269) 782-8681
520 Main St
Ste A
Dowagiac, MI 49047
Phone (269) 783-3052
Organizations & group practices 4
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.
-
- Rural Health Clinic/Center
- Dowagiac, MI
- NPI 1194717504
-
- Hospitalist Physician
- Dowagiac, MI
- NPI 1467315499
-
- Critical Access Hospital
- Dowagiac, MI
- NPI 1194771030
-
- Rural Health Clinic/Center
- Dowagiac, MI
- NPI 1740320894
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1710970488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1010 WESTWOOD DR",
"city": "SAINT JOSEPH",
"state": "MI",
"postal_code": "490853534",
"telephone_number": "269-428-9301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 S FRONT ST",
"city": "DOWAGIAC",
"state": "MI",
"postal_code": "490471740",
"telephone_number": "269-782-8696",
"fax_number": "269-782-0816"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLASIS",
"first_name": "TERESITA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301062539",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM",
"identifier": "08-0-14-0008-1",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dowagiac, MI
- Van Buren/Cass District Health Department
- Van Buren/Cass District Public Health Department
- Sophia Rosalie Vanderwilp, MMT
- Krystal A Vanegas
- Erica Michelle Vantuyl, PT,DPT
- Shaun Michael West, DBH, LPC, CAADC, ACS
- Charles A. White, DO
- James Lee Wierman, DO
- Lisa Janelle Wolske, NP-C
- Workshop Therapy Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.