MIGUEL MANTILLA-VILLAMIZAR MD
NPI 1063864346
Internal Medicine in The Villages, FL

Q: What is Miguel Mantilla-villamizar's NPI number?

The NPI number for Miguel Mantilla-villamizar is 1063864346. It was assigned to this individual provider in the NPPES registry on July 11, 2016.

Q: What is Miguel Mantilla-villamizar's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since July 11, 2016PECOS EnrolledAccepts Medicare Assignment

2485 PINELLAS PL, THE VILLAGES, FL 32163(844) 884-9355(352) 674-8920 Get Directions Write a Review

NPPES record last updated: August 15, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 15, 2025, Oct 7, 2024, Jun 21, 2019 and 1 more (4 updates tracked since 2016).

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About Miguel Mantilla-villamizar Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MIGUEL MANTILLA-VILLAMIZAR MD (NPI 1063864346) is an individual internal medicine provider in The Villages, Florida, licensed in Florida (ME170596) and active in the NPI registry since July 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2011).

NPPES Registry Identity

NPI1063864346

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameMIGUEL MANTILLA-VILLAMIZARCredential: MD

Location Address2485 PINELLAS PLThe Villages, FL 32163-2703

Mailing Address1020 Lake Sumter LndgThe Villages, FL 32162-2699 · (352) 674-8905 · Fax (352) 674-8901

Phone(844) 884-9355

Fax(352) 674-8920

Sole ProprietorYes

Medical School CMSOtherGraduated 2011

Enumeration DateJuly 11, 2016

Last NPPES UpdateAugust 15, 20254 updates tracked since enumeration

NPPES CertifiedAugust 15, 2025

✔ NPI 1063864346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in FL · ME170596✔ Licensed in CT · 62653

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

2485 PINELLAS PL, The Villages, FL 32163

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Miguel Mantilla-villamizar Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2062741663

PECOS Enrollment IDI20241021001688

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32163 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$130.04 typical visit price

range $56.00 – $171.84

Typical copayment $32.51 (range $14.00 – $42.96)

Most-billed visit code 99204

Established Patient

$99.16 typical visit price

range $17.57 – $139.16

Typical copayment $24.79 (range $4.39 – $34.79)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

8 suppliers26 claims45 services$5.43 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

3 suppliers11 claims12 services$1.03 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

VANESSA BINGAMON APRN

Nurse Practitioner (Family)