Ivan A. Villalta-Wehmeyer, M.D.

Primary specialty

Neonatal-Perinatal Medicine PhysicianTaxonomy code 2080N0001X

License

MD06771R Issued in LA

Practice address

15790 Paul Vega MD, Dr
Hammond, LA 70403

Phone

(985) 230-6900

Fax

(985) 230-6531

NPI assigned

Nov 6, 2006

Last updated

May 22, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Hsa Port Arthur, LLC

  • General Acute Care Hospital
  • Port Arthur, TX
  • NPI 1194548073
  NPD (past)
• The Medical Center of Southeast Texas LP

  • General Acute Care Hospital
  • Port Arthur, TX
  • NPI 1861467573
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526947200000",
    "number": "1932278181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39359 BAY DR",
            "city": "PONCHATOULA",
            "state": "LA",
            "postal_code": "704546657",
            "telephone_number": "985-230-6900",
            "fax_number": "985-230-6531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15790 PAUL VEGA MD, DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "70403",
            "telephone_number": "985-230-6900",
            "fax_number": "985-230-6531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLALTA-WEHMEYER",
        "first_name": "IVAN",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2018-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "IN",
            "license": "01032685A",
            "primary": false
        },
        {
            "code": "2080N0001X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Neonatal-Perinatal Medicine",
            "state": "LA",
            "license": "MD06771R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1392995",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brittany A Veron
• Bryce J Veron
• Alana Jade Vest
• Christopher Vicaro
• Tanzanea Villacismena
• Drew Claire Villenurve
• Corey Vining
• Darlene Viola, RN
• Visiting Care Association of Florida Parishes, Lla
• Visiting Care Association of Florida Parishes, LLC

• Neonatal-Perinatal Medicine Physician in Hammond, LA
• Providers in Hammond, LA by specialty
• Neonatal-Perinatal Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2018; 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.