Individual provider Active NPI

Nelson Medina Villanueva

  • Critical Care Medicine (Internal Medicine) Physician
  • Kissimmee, FL
National Provider Identifier
1790016160
Registry record updated Apr 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME119501 Issued in FL
Practice address
3480 Polynesian Isle Blvd
Kissimmee, FL 34746-4654
Phone
(877) 352-5864
NPI assigned
Jan 24, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 17747 PR
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME119501 FL Primary

Addresses

Primary practice location

3480 Polynesian Isle Blvd
Kissimmee, FL 34746-4654

Mailing address

201 Lyons Ave
Newark, NJ 07112-2027
Phone (973) 926-6639

Other practice location 1

15540 W Colonial Dr
Winter Garden, FL 34787-9556
Phone (877) 352-5864

Other practice location 2

201 Lyons Ave
Pulmonary/ Critical Care Fellowship
Newark, NJ 07112-2027
Phone (973) 926-6639

Other practice location 3

717 E Michigan St
Orlando, FL 32806-4645
Phone (877) 352-5864

Other practice location 4

4553 Pleasant Hill Rd
Kissimmee, FL 34759-3422
Phone (877) 352-5864

Other practice location 5

10920 Moss Park Rd Ste 100
Orlando, FL 32832-6087
Phone (877) 352-5864

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140514000600 FL Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 2163645490 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florida Lung Asthma and Sleep Specialists, P.a.Group PAC ID 1052587573, 18 clinicians

Practice addresses (Care Compare)

4553 Pleasant Hill Rd
Kissimmee, FL 34759-3422
Phone (407) 483-8965

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.35 of 100Reported as group
Quality
93.32
Improvement activities
40
Cost
83.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17747PRMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Hospital Medical Group Inc Single Specialty CurrentSince Aug 29, 2016 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Aug 29, 2016 Accepting new patients
Respro Sleep Single Specialty CurrentSince Jul 23, 2025 Accepting new patients
Florida Lung Asthma and Sleep Specialists, P.a. Single Specialty CurrentSince Feb 8, 2016 Accepting new patients

Locations

3480 Polynesian Isle Blvd
Kissimmee, FL 34746
Phone (407) 507-2615

2940 Mallory Cir
Ste 204
Kissimmee, FL 34747
Phone (407) 507-2615

4553 Pleasant Hill Rd
Kissimmee, FL 34759
Phone (407) 483-8965

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

717 E Michigan St
Orlando, FL 32806
Phone (407) 515-8585

10920 Moss Park Rd
Ste 100
Orlando, FL 32832
Phone (321) 325-9997

10929 Moss Park Rd Ste 118
Ste 118
Orlando, FL 32832

15540 W Colonial Dr
Winter Garden, FL 34787
Phone (877) 352-5864

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: nelson.medinavillanueva@direct.flass.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/FGCHDD

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1264291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775001600000",
    "number": "1790016160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 LYONS AVE",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071122027",
            "telephone_number": "973-926-6639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3480 POLYNESIAN ISLE BLVD",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347464654",
            "telephone_number": "877-352-5864"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15540 W Colonial Dr",
            "address_purpose": "LOCATION",
            "city": "Winter Garden",
            "state": "FL",
            "postal_code": "347879556",
            "country_code": "US",
            "telephone_number": "877-352-5864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Lyons Ave",
            "address_2": "Pulmonary/ Critical Care Fellowship",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "NJ",
            "postal_code": "071122027",
            "country_code": "US",
            "telephone_number": "973-926-6639",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "717 E Michigan St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328064645",
            "country_code": "US",
            "telephone_number": "877-352-5864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4553 Pleasant Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Kissimmee",
            "state": "FL",
            "postal_code": "347593422",
            "country_code": "US",
            "telephone_number": "877-352-5864",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10920 Moss Park Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328326087",
            "country_code": "US",
            "telephone_number": "877-352-5864",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEDINA VILLANUEVA",
        "first_name": "NELSON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-01-24",
        "last_updated": "2026-04-01",
        "certification_date": "2026-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "17747",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME119501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

Verify at the official NPI Registry.