Active NPI
Patrick Villicana
- Urology Physician
- Plantation, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- ME105141
- Practice address
- 350 NW 84TH Ave Ste 300
Plantation, FL 33324-1859 - Phone
- (954) 474-2929
- Fax
- (954) 474-9708
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | TRN7728 | FL | |
| Urology Physician | 208800000X | ME105141 | FL | Primary |
Addresses
Primary practice location
350 NW 84TH Ave Ste 300
Plantation, FL 33324-1859
Mailing address
1419 SE 8TH Ter Ste 200
Cape Coral, FL 33990-3213
Phone (239) 931-7342
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9763431 | Other | FL | AETNA |
| QMP000003918664 | Other | FL | MOLINA |
| 336048 | Other | FL | AVMED |
| PRL00000274175 | Other | FL | PREFERRED MEDICAL PLAN |
| P983677 | Other | FL | FREEDOM HEALTH |
| 146WM | Other | FL | BCBS FL |
| 4465503 | Other | FL | CIGNA |
| 12391 | Other | FL | DIMENSIONS HEALTH |
| F00314331603 | Other | FL | UNITED HEALTHCARE |
| P943004 | Other | FL | OPTIMUM |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Tufts University School of Medicine, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1419 SE 8TH Ter
Cape Coral, FL 33990-3213
Phone (239) 772-3202
350 NW 84TH Ave
Suite 300
Plantation, FL 33324-1859
Phone (954) 474-2929
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 98
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TRN7728 | FL | MD | Urology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesiscare USA of Florida LLC | Urology | Current | Accepting new patients |
| Genesiscare USA of Florida LLC | Urology | Current | Accepting new patients |
| Genesiscare USA of Florida LLC | Urology | Current | Accepting new patients |
| Genesiscare USA of Florida LLC | Urology | Past | Accepting new patients |
| Rockledge Hma Medical Group, LLC | Past | Accepting new patients |
Locations
1419 SE 8th Ter
Ste 200
Cape Coral, FL 33990
1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202
2234 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 931-7212
730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119
180 SW 84th Ave
Ste A
Plantation, FL 33324
Phone (954) 474-2929
350 NW 84th Ave
Ste 300
Plantation, FL 33324
Phone (954) 473-6776
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Uro-Surg Associates
- Urology Physician
- Plantation, FL
- NPI 1497016729
-
dba David Schwartzwald, MD: Urology Care Specialists
- Urology Physician
- Boca Raton, FL
- NPI 1649093709
-
- Internal Medicine Physician
- Merritt Island, FL
- NPI 1386959484
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HCA Florida Westside Hospital
- General Acute Care Hospital
- Plantation, FL
- NPI 1063466589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1745452800000",
"number": "1952479008",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1419 SE 8TH TER STE 200",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339903213",
"telephone_number": "239-931-7342",
"fax_number": "239-931-7385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 NW 84TH AVE STE 300",
"city": "PLANTATION",
"state": "FL",
"postal_code": "333241859",
"telephone_number": "954-474-2929",
"fax_number": "954-474-9708"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLICANA",
"first_name": "PATRICK",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2025-04-24",
"certification_date": "2025-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "TRN7728",
"primary": false
},
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "FL",
"license": "ME105141",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "9763431",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MOLINA",
"identifier": "QMP000003918664",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "336048",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PREFERRED MEDICAL PLAN",
"identifier": "PRL00000274175",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FREEDOM HEALTH",
"identifier": "P983677",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS FL",
"identifier": "146WM",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "4465503",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DIMENSIONS HEALTH",
"identifier": "12391",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "F00314331603",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTIMUM",
"identifier": "P943004",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Plantation, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2025; 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.