Individual provider Active NPI

Juan F Villalona, M.D.

  • Pediatric Gastroenterology Physician
  • Richmond, VA
National Provider Identifier
1881625408
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
0101239864 Issued in VA
Practice address
7229 Forest Ave Ste 106
The Highland II Medical Office Building
Richmond, VA 23226-3765
Phone
(804) 888-7337
Fax
(804) 888-9738
NPI assigned
Jul 5, 2006
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Gastroenterology Physician 2080P0206X 0101239864 VA Primary

Addresses

Primary practice location

7229 Forest Ave Ste 106
The Highland II Medical Office Building
Richmond, VA 23226-3765

Mailing address

7605 Forest Ave., Suite 316
Professional Office Building
Henrico, VA 23229-4939
Phone (804) 307-6350

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20061202000020 VA Practitioner - Pediatric MedicinePractitioner - Gastroenterology 3678571569 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pediatric Gastroenterology of Richmond, P.C. Pediatric Gastroenterology CurrentSince Jul 1, 2010 Accepting new patients
MCV Associated Physicians PastSince Sep 28, 2021 Accepting new patients

Locations

7229 Forest Ave
Ste 106
Richmond, VA 23226
Phone (804) 366-7396

7605 Forest Ave
Ste 316
Richmond, VA 23229
Phone (804) 282-0044

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1881625408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7605 FOREST AVE., SUITE 316",
            "address_2": "PROFESSIONAL OFFICE BUILDING",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232294939",
            "telephone_number": "804-307-6350",
            "fax_number": "804-888-9738"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7229 FOREST AVE STE 106",
            "address_2": "THE HIGHLAND II MEDICAL OFFICE BUILDING",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232263765",
            "telephone_number": "804-888-7337",
            "fax_number": "804-888-9738"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALONA",
        "first_name": "JUAN",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "VA",
            "license": "0101239864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

Verify at the official NPI Registry.