Edwin Manuel Villalobos, M.D.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

MD0000059994 Issued in TN

Practice address

2692 W Lake Mary Blvd
Lake Mary, FL 32746-3535

Phone

(321) 710-8027

Fax

(407) 333-9974

NPI assigned

Oct 16, 2006

Last updated

Nov 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• National Surgical Centers of America LLC

  dba NSCOA The Villages

  • Ambulatory Surgical Clinic/Center
  • Lady Lake, FL
  • NPI 1063853174
  Medicare reassignment NPD
• National Surgical Centers of America LLC

  dba Nscoa

  • Ambulatory Surgical Clinic/Center
  • Winter Park, FL
  • NPI 1770724122
  Medicare reassignment NPD
• National Surgical Centers of America LLC

  dba NSCOA Delray Beach

  • Ambulatory Surgical Clinic/Center
  • Delray Beach, FL
  • NPI 1992040976
  Medicare reassignment NPD
• Edwin M Villalobos MD PA

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Altamonte Springs, FL
  • NPI 1124216601
  NPD Authorized official
• Florida Pain and Rehabilitation Associates Inc

  • Interventional Pain Medicine Physician
  • Delray Beach, FL
  • NPI 1902064876
  Medicare reassignment
• National Surgical Centers of America LLC

  dba NSCOA Port St. Lucie

  • Ambulatory Surgical Clinic/Center
  • Port St Lucie, FL
  • NPI 1346662186
  Medicare reassignment
• Florida Pain and Rehabilitation Associates Inc

  • Specialist
  • Delray Beach, FL
  • NPI 1053363457

  Interventional Pain Medicine

  NPD
• Florida Pain and Rehabilitation Associates Inc

  • Specialist
  • Fort Lauderdale, FL
  • NPI 1598347726
  NPD
• Ortho Sport & Spine Physicians Chattanooga

  • Physical Medicine & Rehabilitation Physician
  • Chattanooga, TN
  • NPI 1275219925
  NPD (past)
• Ortho Sport & Spine Physicians of Tennessee, PLLC

  • Physical Medicine & Rehabilitation Physician
  • Nashville, TN
  • NPI 1821706979
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1861572653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5365 W ATLANTIC AVE",
            "address_2": "SUITE 504",
            "city": "DELRAY BEACH",
            "state": "FL",
            "postal_code": "334848172",
            "telephone_number": "561-241-9300",
            "fax_number": "561-241-9339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2692 W LAKE MARY BLVD",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463535",
            "telephone_number": "321-710-8027",
            "fax_number": "407-333-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALOBOS",
        "first_name": "EDWIN",
        "middle_name": "MANUEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TN",
            "license": "MD0000059994",
            "primary": true
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME44332",
            "primary": false
        },
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME44332",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE 34259",
            "identifier": "47633Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Beatriz Vetter
• Brian Keith Vickaryous, MD
• Victoria Lee LLC
• Rhianette Viera, LMT
• Vikram P Mehta MD PA
• Villar Neuropsychology, LLC
• Rebecca C Villar, PSYD
• Kelley Elise Villegas, OTR
• Dara Madelyn Vino, PA
• Vista Employee Assistance & Counseling Inc

• Physical Medicine & Rehabilitation Physician in Lake Mary, FL
• Providers in Lake Mary, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.