Active NPI
Nivia Elis Rodriguez Villanueva, MD
- General Practice Physician
- Clermont, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- ACN1283
- Practice address
- 2604 S Hwy 27
Clermont, FL 34711-6526 - Phone
- (844) 665-4827
- NPI assigned
- Jun 5, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 14993-I | PR | |
| General Practice Physician | 208D00000X | ACN1283 | FL | Primary |
Addresses
Primary practice location
2604 S Hwy 27
Clermont, FL 34711-6526
Mailing address
2604 S Hwy 27
Clermont, FL 34711-6526
Phone (844) 665-4827
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200903003378 | FL | Practitioner - General Practice | 0547687543 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Guidewell Sanitas I, LLC
Practice addresses (Care Compare)
3617 W Hillsborough Ave
Tampa, FL 33614-5713
Phone (844) 665-4827
4980 E Irlo Bronson Memorial Hwy
Saint Cloud, FL 34771-8723
Phone (844) 665-4827
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ACN1283 | FL | MD | General Practice Physician |
| 14993-I | PR | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orlando Family Medical Inc | General Practice | Current | Accepting new patients |
| Guidewell Sanitas I, LLC | Current | Accepting new patients | |
| Solace Medical Group LLC | Current | Accepting new patients |
Locations
8400 NW 33rd St
Ste 201
Doral, FL 33122
Phone (786) 882-2869
931 W Oak St
Ste 103
Kissimmee, FL 34741
Phone (407) 922-4839
5425 S Semoran Blvd
Ste 7C
Orlando, FL 32822
1890 Palm Bay Rd NE
Ste 1
Palm Bay, FL 32905
Phone (321) 327-3009
4739 Old Canoe Creek Rd
Saint Cloud, FL 34769
Phone (407) 593-2290
3617 W Hillsborough Ave
Tampa, FL 33614
Phone (813) 675-2020
Interoperability endpoints
- nivia.rodriguezvillanueva@wwmp.eclinicaldirectplus.com
Organizations & group practices 3
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1559692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708560000000",
"number": "1780242586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2604 S HWY 27",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347116526",
"telephone_number": "844-665-4827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2604 S HWY 27",
"city": "CLERMONT",
"state": "FL",
"postal_code": "347116526",
"telephone_number": "844-665-4827"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ VILLANUEVA",
"first_name": "NIVIA",
"middle_name": "ELIS",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-05",
"last_updated": "2024-02-22",
"certification_date": "2024-02-22",
"status": "A"
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "PR",
"license": "14993-I",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "FL",
"license": "ACN1283",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clermont, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2024; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.