VILLARREAL MEDICAL CLINIC PA
NPI 1104033174
Specialist in Mcallen, TX

Active since May 17, 2007CLIA 45D0503168 · Waiver
1200 S 2ND ST. STE.A3, MCALLEN, TX 78501(956) 631-7117(956) 631-7134 Get Directions Write a Review

NPPES record last updated: February 21, 2013. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Villarreal Medical Clinic Pa NPPES

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

VILLARREAL MEDICAL CLINIC PA (NPI 1104033174) is a healthcare organization registered as a specialist in Mcallen, Texas and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through September 5, 2027 and lists Victor Romeo Villarreal, Doctor, as its authorized official.

NPPES Registry Identity

NPI1104033174
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameVILLARREAL MEDICAL CLINIC PA
Location Address1200 S 2ND ST. STE.A3Mcallen, TX 78501-2997
Mailing Address1200 S 2nd St. Ste.a3Mcallen, TX 78501-2997 · (956) 631-7117 · Fax (956) 631-7134
Fax(956) 631-7134
Organization SubpartNo
Authorized OfficialVictor Romeo VillarrealDoctor · (956) 631-7117
Enumeration DateMay 17, 2007
Last NPPES UpdateFebruary 21, 2013
✔ NPI 1104033174 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in TX · F0342
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1200 S 2ND ST. STE.A3, Mcallen, TX 78501

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Villarreal Medical Clinic Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Villarreal Medical Clinic PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Family Practice
NPI 1699846444
1200 S COL ROWE BLVD SUITE A3
Mcallen, TX 78501
(956) 631-7117
✔ PECOSSame address
General Practice
NPI 1629013974
3006 N RAUL LONGORIA RD
San Juan, TX 78589
(956) 283-9800
✔ PECOS✔ Accepts Medicare5.1 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 45D0503168

Villarreal Medical Clinic · Mcallen, TX
Active · expires Sep 5, 2027
CLIA Number45D0503168
Laboratory TypePhysician Office
Certificate Effective DateSeptember 6, 2025
Certificate Expiration DateSeptember 5, 2027
Laboratory DirectorDan Villarreal
Laboratory Phone(956) 631-7117
Laboratory LocationVillarreal Medical Clinic1200 South 2nd Street A-3, Mcallen, TX 78501
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Villarreal Medical Clinic PA's NPI number?

The NPI number for Villarreal Medical Clinic PA is 1104033174. It was assigned to this organization in the NPPES registry on May 17, 2007.

Where is Villarreal Medical Clinic PA located?

Villarreal Medical Clinic PA is located at 1200 S 2nd St. Ste.A3, Mcallen, TX 78501. The listed phone number is (956) 631-7117.

What is Villarreal Medical Clinic PA's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Villarreal Medical Clinic PA enrolled in Medicare?

Yes. Villarreal Medical Clinic PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Villarreal Medical Clinic PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Villarreal Medical Clinic PA, in Family Practice and General Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Villarreal Medical Clinic PA hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 45D0503168) is associated with this NPI, valid through September 5, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Villarreal Medical Clinic PA was last updated on February 21, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.