Individual provider Active NPI

David H Villarreal, MD

  • Trauma Surgery Physician
  • Fort Worth, TX
National Provider Identifier
1861417552
Registry record updated Aug 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
K9694 Issued in TX
Practice address
1500 S Main St
Fort Worth, TX 76104-4917
Phone
(817) 702-3431
NPI assigned
Jul 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X K9694 TX Primary
Surgical Critical Care Physician 2086S0102X MD60951893 WA

Addresses

Primary practice location

1500 S Main St
Fort Worth, TX 76104-4917

Mailing address

PO Box 732973
Dallas, TX 75373-2024

Other practice location 1

1020 E Idel St
Tyler, TX 75701-2024
Phone (903) 521-7819

Other practice location 2

888 Swift Blvd
Richland, WA 99352-3514
Phone (509) 942-2648

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL TYLER Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, FL, CA, WA, VA, VI6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20100317000521 TX Practitioner - General Surgery 2466587357 Reassigns benefits to 3 organizations
I20110928000489 FL Practitioner - General SurgeryPractitioner - Geriatric MedicinePractitioner - Other (Physician)Practitioner - Critical Care (Intensivists) 2466587357 Reassigns benefits to 2 organizations
I20181115003063 CA Practitioner - General Surgery 2466587357 Reassigns benefits to 3 organizations
I20200131002208 WA Practitioner - Critical Care (Intensivists)Practitioner - General Surgery 2466587357 Reassigns benefits to 1 organization
I20240812001694 VA Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 2466587357
I20250603004113 VI Practitioner - Critical Care (Intensivists) 2466587357 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Etmc Physician Group, Inc.Group PAC ID 4486915600, 375 clinicians

Practice addresses (Care Compare)

1000 S Beckham Ave
Tyler, TX 75701-1908
Phone (903) 590-5611

18118 FM 344
Flint, TX 75762-6010
Phone (903) 825-3292

Hospital & facility affiliations

  • Ut Health East Texas Tyler Regional Hospital Hospital, Tyler, TX, CCN 450083
  • Ut Health East Texas Athens Hospital Hospital, Athens, TX, CCN 450389
  • Titus Regional Medical Center Hospital, Mount Pleasant, TX, CCN 450080

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Surgery Medical Group, Inc. Surgical Critical Care CurrentSince Oct 1, 2019 Accepting new patients
Virginia Mason Medical Center CurrentSince Jun 25, 2020 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Apr 23, 2025 Accepting new patients
Etmc Physician Group Inc. CurrentSince Dec 1, 2018 Accepting new patients
Governor Juan F. Luis Hospital & Medical Center CurrentSince Apr 23, 2025 Accepting new patients
Kern County Hospital Authority CurrentSince Aug 13, 2018 Accepting new patients
Inpatient Specialists of California, PC CurrentSince Jul 1, 2024 Accepting new patients
Etmc Physician Group Inc. CurrentSince Dec 1, 2018 Accepting new patients
Kern County Hospital Authority CurrentSince Aug 13, 2018 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 18, 2017 Accepting new patients
Intensivist Medicine Services of FL, LLC CurrentSince May 14, 2023 Accepting new patients
Hospital Medicine Services of FL, LLC CurrentSince Apr 1, 2023 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Dec 18, 2017 Accepting new patients
Virginia Mason Medical Center Current Accepting new patients
Virginia Mason Medical Center CurrentSince Jun 25, 2020 Accepting new patients
Acclaim Physician Group, Inc CurrentSince May 25, 2024 Accepting new patients
Tyler Regional Hospital LLC Past Accepting new patients
East Texas Medical Center Healthcare Associates Past Accepting new patients
Scott & White Hospital - Taylor Past Accepting new patients

Locations (25 of 26)

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

2865 Atlantic Ave
Ste 104
Long Beach, CA 90806
Phone (562) 933-1820

2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000

27700 Medical Center Rd
Mission Viejo, CA 92691
Phone (949) 364-7744

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

1700 S 23rd St
Fort Pierce, FL 34950
Phone (772) 461-4000

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

340 NW Commerce Dr
Lake City, FL 32055
Phone (386) 719-9000

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

449 W 23rd St
Fl Gulf
Panama City, FL 32405
Phone (813) 873-6400

449 W 23rd St
Panama City, FL 32405
Phone (850) 747-7900

2901 W Swann Ave
Tampa, FL 33609
Phone (813) 783-6400

2901 W Swann Ave
Fl S
Tampa, FL 33609
Phone (813) 873-6400

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

18118 FM 344 W
Flint, TX 75762
Phone (903) 825-3292

1350 S Main St
Fl 1
Fort Worth, TX 76104
Phone (817) 702-3701

2500 Circle Dr
Ft Worth, TX 76119
Phone (817) 702-7340

1500 S Main St
Ft Worth, TX 76104
Phone (817) 921-3431

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

1020 E Idel St
Tyler, TX 75701
Phone (903) 535-2902

910 E Houston St
Ste 530
Tyler, TX 75702
Phone (903) 525-2992

4007 Estate Diamond Ruby
St Croix, VI 00820
Phone (340) 772-7423

380 Winslow Way E
Bainbridge Island, WA 98110
Phone (206) 842-5632

925 Seneca St
Seattle, WA 98101
Phone (206) 341-0860

Interoperability endpoints

  • Direct secure messaging: dvillarreal355088@ahs.direct-ci.com

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 4

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": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787097600000",
    "number": "1861417552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 732973",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753732024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-702-3431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1020 E Idel St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012024",
            "country_code": "US",
            "telephone_number": "903-521-7819",
            "fax_number": "903-535-9217",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "888 Swift Blvd",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523514",
            "country_code": "US",
            "telephone_number": "509-942-2648",
            "fax_number": "509-942-2812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLARREAL",
        "first_name": "DAVID",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-13",
        "last_updated": "2026-08-19",
        "certification_date": "2026-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "TX",
            "license": "K9694",
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "WA",
            "license": "MD60951893",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "TYLER",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1020 E Idel St",
            "city": "Tyler",
            "state": "TX",
            "country_code": "US",
            "postal_code": "757012024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.