Active NPI
Eric David Villarreal, MD
- Orthopaedic Surgery Physician
- Clearwater, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- ME164109
- Practice address
- 430 Morton Plant St Ste 301
Clearwater, FL 33756-3395 - Phone
- (727) 461-6026
- NPI assigned
- Apr 2, 2018
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | DR.0070341 | CO | |
| Orthopaedic Surgery Physician | 207X00000X | ME164109 | FL | Primary |
Addresses
Primary practice location
430 Morton Plant St Ste 301
Clearwater, FL 33756-3395
Mailing address
5901 E Fowler Ave Ste 100
Temple Terrace, FL 33617-2305
Phone (813) 978-9700
Other practice location 1
1865 Lpga Blvd
Daytona Beach, FL 32117-7108
Phone (386) 255-4596
Other practice location 2
1075 Mason Ave
Daytona Beach, FL 32117-4611
Phone (386) 255-4596
Other practice location 3
12631 E 17th Ave Ofc 1
Aurora, CO 80045-2527
Phone (303) 724-7378
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121603200 | Medicaid | FL |
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
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Tennessee, HSC, College of Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1865 Lpga Blvd
Daytona Beach, FL 32117-7108
Phone (386) 255-4596
Hospital & facility affiliations
- Halifax Health Medical Center
- Adventhealth Daytona Beach
- Adventhealth Palm Coast Parkway
- AdventHealth Palm Coast
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0070341 | CO | MD | Orthopaedic Foot and Ankle Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Clinic of Daytona Beach PA | Orthopaedic Surgery | Current | Accepting new patients |
| Orthopaedic Clinic of Daytona Beach PA | Orthopaedic Surgery | Current | Accepting new patients |
Locations
1865 Lpga Blvd
Daytona Beach, FL 32117
Phone (386) 255-4596
1075 Mason Ave
Daytona Beach, FL 32117
Phone (386) 255-4596
1890 Lpga Blvd
Ste 240
Daytona Beach, FL 32117
Phone (386) 255-4596
17 Old Kings Rd N
Ste K
Palm Coast, FL 32137
Phone (386) 255-4596
1165 Dunlawton Ave
Ste 102
Port Orange, FL 32127
Phone (386) 255-4596
1175 Dunlawton Ave
Ste 1
Port Orange, FL 32127
Phone (386) 255-4596
Interoperability endpoints
- https://api.platform.athenahealth.com/10735/brand/1/csg/1/fhir/r4
- eric.villarreal.1@10735.direct.athenahealth.com
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Daytona Beach, FL
- NPI 1558340240
-
- Durable Medical Equipment & Medical Supplies
- Port Orange, FL
- NPI 1023678745
Orthopaedic Surgery
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Adventhealth Palm Coast Parkway
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1861102345
-
dba Halifax Medical Center
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1811991227
-
dba AdventHealth Daytona Beach
- General Acute Care Hospital
- Daytona Beach, FL
- NPI 1063426823
-
dba AdventHealth Daytona Beach
- Clinical Medical Laboratory
- Daytona Beach, FL
- NPI 1104696178
Hospital
-
dba AdventHealth Palm Coast
- General Acute Care Hospital
- Palm Coast, FL
- NPI 1679678486
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778025600000",
"number": "1790281400",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5901 E FOWLER AVE STE 100",
"city": "TEMPLE TERRACE",
"state": "FL",
"postal_code": "336172305",
"telephone_number": "813-978-9700",
"fax_number": "813-558-6939"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "430 MORTON PLANT ST STE 301",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337563395",
"telephone_number": "727-461-6026"
}
],
"practiceLocations": [
{
"address_1": "1865 Lpga Blvd",
"address_purpose": "LOCATION",
"city": "Daytona Beach",
"state": "FL",
"postal_code": "321177108",
"country_code": "US",
"telephone_number": "386-255-4596",
"fax_number": "386-258-3561",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1075 Mason Ave",
"address_purpose": "LOCATION",
"city": "Daytona Beach",
"state": "FL",
"postal_code": "321174611",
"country_code": "US",
"telephone_number": "386-255-4596",
"fax_number": "386-258-3561",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12631 E 17th Ave Ofc 1",
"address_purpose": "LOCATION",
"city": "Aurora",
"state": "CO",
"postal_code": "800452527",
"country_code": "US",
"telephone_number": "303-724-7378",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VILLARREAL",
"first_name": "ERIC",
"middle_name": "DAVID",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-02",
"last_updated": "2026-05-06",
"certification_date": "2026-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "CO",
"license": "DR.0070341",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "FL",
"license": "ME164109",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121603200",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2026; 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.