Organization Active NPI

James Villotti MD PA

  • Family Medicine Physician
  • Englewood, FL
National Provider Identifier
1750682175
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
207Q00000X Issued in FL
Legal business name
JAMES VILLOTTI MD PA
Practice address
900 Pine St
Suite 111
Englewood, FL 34223-4418
Phone
(941) 474-9581
Fax
(941) 475-0748
NPI assigned
Nov 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. James Phillip Villotti, MDNPI 1932195435
Title
President
Phone
(941) 474-0023

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X 207Q00000X FL Primary

Addresses

Primary practice location

900 Pine St
Suite 111
Englewood, FL 34223-4418

Mailing address

900 Pine St
Suite 111
Englewood, FL 34223-4418
Phone (941) 474-9581

Other identifiers 2

IdentifierTypeStateIssuer
D51986OtherFLUPIN
10D0867516OtherFLCLIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101203000097 FL Part B Supplier - Clinic/Group Practice 3678760600 Receives reassigned benefits from 2 practitioners
Practice locations: Englewood, FL

National Provider Directory

National Provider Directory

Locations

900 Pine St
#111B
Englewood, FL 34223
Phone (941) 474-0023

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289952000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1750682175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 PINE ST",
            "address_2": "SUITE 111",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234418",
            "telephone_number": "941-474-9581",
            "fax_number": "941-475-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 PINE ST",
            "address_2": "SUITE 111",
            "city": "ENGLEWOOD",
            "state": "FL",
            "postal_code": "342234418",
            "telephone_number": "941-474-9581",
            "fax_number": "941-475-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JAMES VILLOTTI MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-17",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "VILLOTTI",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "PHILLIP",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "941-474-0023",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "207Q00000X",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UPIN",
            "identifier": "D51986",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "10D0867516",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Englewood, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.