Individual provider Active NPI

Ryan Victor Villegas, D.O.

  • Internal Medicine Physician
  • Sheridan, WY
National Provider Identifier
1780029215
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
17568A Issued in WY
Practice address
1401 W 5TH St
Sheridan, WY 82801-2705
Phone
(307) 672-1000
Fax
(307) 672-1174
NPI assigned
May 10, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A-2145-18 NM
Internal Medicine Physician 207R00000X R2778 TX
Internal Medicine Physician 207R00000X 17568A WY Primary

Addresses

Primary practice location

1401 W 5TH St
Sheridan, WY 82801-2705

Mailing address

PO Box 26666
PHS Provider Enrollment
Albuquerque, NM 87125-6666
Phone (505) 923-6770

Other practice location 1

400 N Pepper Ave
Colton, CA 92324-1801
Phone (909) 580-1000

Other practice location 2

455 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 913-6130

Other practice location 3

7000 Fannin St # 1200
Houston, TX 77030-5400
Phone (713) 704-9389

Other identifiers 2

IdentifierTypeStateIssuer
14073OtherCACALIFORNIA MEDICAL LICENSE
R2778OtherTXTEXAS MEDICAL LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ehr-direct@artesiageneral.hin.us Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, NM, WY3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170614000926 TX Practitioner - Internal Medicine 2163790270 Reassigns benefits to 1 organization
I20180814001369 NM Practitioner - Internal Medicine 2163790270 Reassigns benefits to 7 organizations
I20241107000517 WY Practitioner - Internal Medicine 2163790270 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Touro Un College of Osteopathic Medicine, Vallejo, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Hospital of Sheridan CountyGroup PAC ID 2163405440, 90 clinicians

Practice addresses (Care Compare)

1401 W 5TH St
Sheridan, WY 82801-2705
Phone (307) 672-1000

Hospital & facility affiliations

  • Sheridan Memorial Hospital Hospital, Sheridan, WY, CCN 530006
  • Campbell County Health Hospital, Gillette, WY, CCN 530002
  • Intermountain Health St Vincent Regional Hospital Hospital, Billings, MT, CCN 270049

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R2778TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rehoboth McKinley Christian Health Care Services, Inc CurrentSince Feb 27, 2020 Accepting new patients
Ut Physicians CurrentSince Jul 1, 2017 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc Family Medicine CurrentSince Feb 27, 2020 Accepting new patients
Artesia General Hospital CurrentSince Apr 16, 2020 Accepting new patients
St Vincent Hospital Current Accepting new patients
Presbyterian Healthcare Services Family Medicine CurrentSince Sep 3, 2018 Accepting new patients
Memorial Hospital of Sheridan County CurrentSince Nov 1, 2024 Accepting new patients
Ut Physicians Family Medicine CurrentSince Jul 1, 2017 Accepting new patients
Artesia General Hospital Internal Medicine CurrentSince Apr 16, 2020 Accepting new patients
Memorial Hospital of Sheridan County Family Medicine CurrentSince Nov 1, 2024 Accepting new patients
Presbyterian Healthcare Services Internal Medicine CurrentSince Sep 3, 2018 Accepting new patients
St. Vincent Hospital Family Medicine CurrentSince Sep 12, 2019 Accepting new patients
St Vincent Hospital Family Medicine CurrentSince Sep 12, 2019 Accepting new patients
Rehoboth McKinley Christian Health Care Services, Inc. Current Accepting new patients
Hospitalist Medicine Physicians of Texas, PLLC Family Medicine CurrentSince Jun 29, 2023 Accepting new patients
San Miguel Clinic Corp Family Medicine CurrentSince Jan 21, 2022 Accepting new patients
Ess Hospitalist LLC CurrentSince Jun 1, 2022 Accepting new patients
Artesia General Hospital Past Accepting new patients

Locations

8300 Constitution Ave NE
Bldg D
Albuquerque, NM 87110
Phone (505) 291-2200

1100 Central Ave SE
Albuquerque, NM 87106
Phone (505) 724-6124

612 N 13th St
Ste G
Artesia, NM 88210
Phone (505) 736-8262

702 N 13th St
Artesia, NM 88210
Phone (505) 748-3333

2200 W 21st St
Clovis, NM 88101
Phone (505) 769-7577

1901 Red Rock Dr
Gallup, NM 87301
Phone (505) 863-7000

104 Legion Dr
Ste 4
Las Vegas, NM 87701
Phone (505) 426-3780

108 Legion Dr
Ste D
Las Vegas, NM 87701
Phone (505) 425-3569

465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901

455 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-3361

465 Saint Michaels Dr
Ste 200
Santa Fe, NM 87505
Phone (505) 995-4901

4801 Beckner Rd
Santa Fe, NM 87507
Phone (505) 772-1234

1313 E 32nd St
Silver City, NM 88061
Phone (505) 537-4953

800 E 9th Ave
Truth Or Consequences, NM 87901
Phone (505) 743-1270

7000 Fannin St
Ste 1200
Houston, TX 77030
Phone (713) 704-9389

6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714

6431 Fannin St
#417
Houston, TX 77030
Phone (713) 500-7885

1401 W 5th St
Sheridan, WY 82801
Phone (307) 672-1000

Interoperability endpoints

  • Direct secure messaging: ehr-direct@artesiageneral.hin.us
  • Direct secure messaging: rvillega@yourcarecommunity.org
  • FHIR API: https://fhir-usa.unify.chbase.com/org/artesia-6a02e1ef
  • Direct secure messaging: rvillegas199944@christushealth.direct-ci.net

Organizations & group practices 19

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.

View all 19

Hospital & facility affiliations 5

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": "1368144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1780029215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 26666",
            "address_2": "PHS PROVIDER ENROLLMENT",
            "city": "ALBUQUERQUE",
            "state": "NM",
            "postal_code": "871256666",
            "telephone_number": "505-923-6770",
            "fax_number": "505-923-5354"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W 5TH ST",
            "city": "SHERIDAN",
            "state": "WY",
            "postal_code": "828012705",
            "telephone_number": "307-672-1000",
            "fax_number": "307-672-1174"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Pepper Ave",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923241801",
            "country_code": "US",
            "telephone_number": "909-580-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "455 Saint Michaels Dr",
            "address_purpose": "LOCATION",
            "city": "Santa Fe",
            "state": "NM",
            "postal_code": "875057601",
            "country_code": "US",
            "telephone_number": "505-913-6130",
            "fax_number": "505-913-5408",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7000 Fannin St # 1200",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770305400",
            "country_code": "US",
            "telephone_number": "713-704-9389",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLEGAS",
        "first_name": "RYAN",
        "middle_name": "VICTOR",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-10",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NM",
            "license": "A-2145-18",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "R2778",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WY",
            "license": "17568A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CALIFORNIA MEDICAL LICENSE",
            "identifier": "14073",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL LICENSE",
            "identifier": "R2778",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ehr-direct@artesiageneral.hin.us",
            "affiliation": "N",
            "endpointDescription": "EHR Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "702 N 13th St",
            "city": "Artesia",
            "state": "NM",
            "country_code": "US",
            "postal_code": "882101199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Sheridan, WY

Sources for this page

Verify at the official NPI Registry.