Andrew Raul Villanueva, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101268875 Issued in VA

Practice address

1157 First Colonial Rd Ste 300
Virginia Beach, VA 23454-2432

Phone

(757) 333-8001

Fax

(757) 333-8002

NPI assigned

Apr 14, 2016

Last updated

Nov 21, 2023By 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 4

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Enrolled in VA, NC2 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 2

Specialty

DermatologyAlso: Micrographic Dermatologic Surgery (MDS)

Education

Howard University College of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Forefront Dermatology SCGroup PAC ID 3779471701, shared by 26 NPIs, 650 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

97.45 of 100Reported as group

Promoting interoperability

97

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Vienna, VA
  • NPI 1891169975
  Medicare reassignment NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Goldsboro, NC
  • NPI 1326532169
  Medicare reassignment NPD
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Columbus, OH
  • NPI 1063365385
  NPD
• Evms Academic Physicians and Surgeons Health Services Foundation

  dba EVMS Medical Group

  • MOHS-Micrographic Surgery Physician
  • Norfolk, VA
  • NPI 1518376086
  NPD (past)
• Forefront Dermatology, S.C.

  • Dermatology Physician
  • Manitowoc, WI
  • NPI 1578515904
  NPD (past)

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

{
    "created_epoch": "1460592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700524800000",
    "number": "1912351032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "920-663-9008",
            "fax_number": "920-684-1439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 FIRST COLONIAL RD STE 300",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234542432",
            "telephone_number": "757-333-8001",
            "fax_number": "757-333-8002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5589 N Croatan Hwy",
            "address_purpose": "LOCATION",
            "city": "Kitty Hawk",
            "state": "NC",
            "postal_code": "279493996",
            "country_code": "US",
            "telephone_number": "252-715-0610",
            "fax_number": "252-715-0612",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "620 Grassfield Pkwy Ste 100",
            "address_purpose": "LOCATION",
            "city": "Chesapeake",
            "state": "VA",
            "postal_code": "233227670",
            "country_code": "US",
            "telephone_number": "757-394-8696",
            "fax_number": "757-793-2183",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLANUEVA",
        "first_name": "ANDREW",
        "middle_name": "RAUL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-14",
        "last_updated": "2023-11-21",
        "certification_date": "2023-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "2022-01217",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101268875",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "NC",
            "license": "2022-01217",
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "VA",
            "license": "0101268875",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Andrew.Villanueva@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "5589 N Croatan Hwy",
            "city": "Kitty Hawk",
            "state": "NC",
            "country_code": "US",
            "postal_code": "279493996",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Andrew.Villanueva@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "1157 First Colonial Rd Ste 300",
            "city": "Virginia Beach",
            "state": "VA",
            "country_code": "US",
            "postal_code": "234542432",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Andrew.Villanueva@forefrontdermatology.emadirect.md",
            "affiliation": "N",
            "address_1": "620 Grassfield Pkwy Ste 100",
            "city": "Chesapeake",
            "state": "VA",
            "country_code": "US",
            "postal_code": "233227670",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brittany Videll
• Danika Vielma, RDN
• Andy Javier Vila
• Billy Villalobos, USN IDC
• Susie Joy Villanueva Swamp, COTA/L
• Matthew Quinn Villanueva
• Alicia Vilorio
• Vim LLC
• David A Vincent, M.D.
• Jasmine K Vincent

• Dermatology Physician in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2023; 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.

Verify at the official NPI Registry.