Individual provider Active NPI

Jennifer Villar Villalobos, PA-C

  • Physician Assistant
  • Miami Beach, FL
National Provider Identifier
1932806411
Registry record updated Jan 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9117101 Issued in FL
Practice address
4302 Alton Rd Ste 810
Miami Beach, FL 33140-2893
Phone
(305) 674-2950
NPI assigned
Feb 14, 2023
Last updated
Jan 1, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9117101 FL Primary

Addresses

Primary practice location

4302 Alton Rd Ste 810
Miami Beach, FL 33140-2893

Mailing address

4302 Alton Rd Ste 810
Miami Beach, FL 33140-2893

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230810004518 FL Practitioner - Physician Assistant 8224490073 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Florida International Univ, College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MSMC Interventional, LLCGroup PAC ID 2264686443, 11 clinicians
Neurosurg LLCGroup PAC ID 2860412509, 15 clinicians

Practice addresses (Care Compare)

4300 Alton Rd
Miami, FL 33140-2948
Phone (305) 674-2071

4302 Alton Rd
Suite 810
Miami Beach, FL 33140-2893
Phone (305) 674-2950

4306 Alton Rd
2ND FL
Miami Beach, FL 33140-2800

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.7 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
56.03

Merit-based Incentive Payment System (MIPS)

Final score
90.1 of 100Reported as group
Quality
93.89
Promoting interoperability
100
Improvement activities
40
Cost
60.76

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9117101FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kidzchoice Pediatrics LLC PastSince Feb 1, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jvillarvillalobos90355@direct.msmc.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1676332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704067200000",
    "number": "1932806411",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 810",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4302 ALTON RD STE 810",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331402893",
            "telephone_number": "305-674-2950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VILLAR VILLALOBOS",
        "first_name": "JENNIFER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-14",
        "last_updated": "2024-01-01",
        "certification_date": "2024-01-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9117101",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

Verify at the official NPI Registry.