Individual provider Active NPI

David Phillip Villegas, P.A.-C

  • Physician Assistant
  • Fredericksburg, VA
National Provider Identifier
1790025484
Registry record updated Feb 18, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0110004162 Issued in VA
Practice address
125 Olde Greenwich Dr
Fredericksburg, VA 22408-4001
Phone
(540) 374-5599
NPI assigned
Feb 18, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110004162 VA Primary

Addresses

Primary practice location

125 Olde Greenwich Dr
Fredericksburg, VA 22408-4001

Mailing address

506 Worchester St
Herndon, VA 20170-3135

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150414000661 DC Practitioner - Physician Assistant 8123265048 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anderson Clinic LLCGroup PAC ID 2264331263, 75 clinicians

Practice addresses (Care Compare)

2501 Parkers LN
Alexandria, VA 22306-3209
Phone (703) 892-6500

2800 S Shirlington Rd
Suite 1000
Arlington, VA 22206-3614

2800 S Shirlington Rd
Suite 1100
Arlington, VA 22206-3605

Hospital & facility affiliations

  • Inova Mount Vernon Hospital Hospital, Alexandria, VA, CCN 490122
  • Virginia Hospital Center Hospital, Arlington, VA, CCN 490050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Anderson Clinic LLC CurrentSince Mar 1, 2015 Accepting new patients
Anderson Clinic LLC Physician Assistant CurrentSince Mar 1, 2015 Accepting new patients

Locations

2501 Parkers Ln
Alexandria, VA 22306
Phone (703) 664-7000

2501 Parkers Ln
Ste 200
Alexandria, VA 22306
Phone (703) 769-8430

2800 S Shirlington Rd
Ste 1000
Arlington, VA 22206

2800 S Shirlington Rd
Ste 1100
Arlington, VA 22206
Phone (703) 769-8423

2445 Army Navy Dr
Arlington, VA 22206

10716 Richmond Hwy
Ste 101
Lorton, VA 22079
Phone (703) 997-0930

Interoperability endpoints

  • Direct secure messaging: dvillegas@andersonclinic.emadirect.md

Organizations & group practices 2

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.

Hospital & facility affiliations 2

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": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361145600000",
    "number": "1790025484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 WORCHESTER ST",
            "city": "HERNDON",
            "state": "VA",
            "postal_code": "201703135"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 OLDE GREENWICH DR",
            "city": "FREDERICKSBURG",
            "state": "VA",
            "postal_code": "224084001",
            "telephone_number": "540-374-5599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLEGAS",
        "first_name": "DAVID",
        "middle_name": "PHILLIP",
        "credential": "P.A.-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-18",
        "last_updated": "2013-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110004162",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fredericksburg, VA

Sources for this page

Verify at the official NPI Registry.