Individual provider Active NPI

Luis Diego Villani, M.D.

  • Ophthalmology Physician
  • Bay Harbor Islands, FL
National Provider Identifier
1962498782
Registry record updated Nov 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
75837 Issued in FL
Practice address
1111 Kane Concourse Ste 607
Bay Harbor Islands, FL 33154-2044
Phone
(305) 674-2047
Fax
(305) 674-2939
NPI assigned
Sep 27, 2005
Last updated
Nov 16, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 75837 FL Primary

Addresses

Primary practice location

1111 Kane Concourse Ste 607
Bay Harbor Islands, FL 33154-2044

Mailing address

1111 Kane Concourse Ste 607
Bay Harbor Islands, FL 33154-2044
Phone (305) 674-2047

Other practice location 1

4308 Alton Rd
Suite 870
Miami Beach, FL 33140-4556
Phone (305) 674-2047

Other identifiers 1

IdentifierTypeStateIssuer
254415600MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170502002421 FL Practitioner - OphthalmologyPractitioner - Internal Medicine 1557511748 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1111 Kane Concourse
Suite 607
Bay Harbor Islands, FL 33154-2044
Phone (305) 674-2047

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery72

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
75837FLMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Miami Beach Center for Ophthalmology PA Ophthalmology CurrentSince Sep 1, 2020 Accepting new patients

Locations

1111 Kane Concourse
Ste 607
Bay Harbor Islands, FL 33154
Phone (305) 674-2047

4300 Alton Rd
Miami Beach, FL 33140
Phone (305) 481-9776

4308 Alton Rd
Ste 870
Miami Beach, FL 33140
Phone (305) 538-1400

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.

NPI Registry JSON

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

{
    "created_epoch": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605484800000",
    "number": "1962498782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 KANE CONCOURSE STE 607",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542044",
            "telephone_number": "305-674-2047",
            "fax_number": "305-674-2939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 KANE CONCOURSE STE 607",
            "city": "BAY HARBOR ISLANDS",
            "state": "FL",
            "postal_code": "331542044",
            "telephone_number": "305-674-2047",
            "fax_number": "305-674-2939"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4308 Alton Rd",
            "address_2": "SUITE 870",
            "address_purpose": "LOCATION",
            "city": "Miami Beach",
            "state": "FL",
            "postal_code": "331404556",
            "country_code": "US",
            "telephone_number": "305-674-2047",
            "fax_number": "305-674-2939",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VILLANI",
        "first_name": "LUIS",
        "middle_name": "DIEGO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "FL",
            "license": "75837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "254415600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bay Harbor Islands, FL

Sources for this page

Verify at the official NPI Registry.