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VILLA MEDICAL ARTS
NPI 1124058029
Internal Medicine in Villa Park, IL

Active since July 04, 2006CLIA 14D0416770 · Waiver
33 S. VILLA AVE., SUITE 2, VILLA PARK, IL 60181(630) 832-9000(630) 832-7907 Get Directions Write a Review

NPPES record last updated: March 23, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Villa Medical Arts NPPES

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

VILLA MEDICAL ARTS (NPI 1124058029) is a healthcare organization registered as an internal medicine in Villa Park, Illinois and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through March 13, 2027 and lists Deepa Fulton, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1124058029
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameVILLA MEDICAL ARTS
Location Address33 S. VILLA AVE., SUITE 2Villa Park, IL 60181
Mailing Address33 S. Villa Ave., Suite 2Villa Park, IL 60181 · (630) 832-9000 · Fax (630) 832-7907
Phone(630) 832-9000
Fax(630) 832-7907
Organization SubpartNo
Authorized OfficialDeepa FultonPractice Manager · (630) 832-9000
Enumeration DateJuly 4, 2006
Last NPPES UpdateMarch 23, 2022
NPPES CertifiedMarch 23, 2022
✔ NPI 1124058029 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
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 ListedFamily MedicineTaxonomy 207Q00000X
33 S. VILLA AVE., Villa Park, IL 60181
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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)

Villa Medical Arts is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Villa Medical Arts, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (3)

Eyad Homedi, M.D.
Family Practice
NPI 1427034073
33 S VILLA AVE STE 2
Villa Park, IL 60181
(630) 832-9000
✔ PECOS✔ Accepts MedicareSame address
Anthony Lin, MD
Family Practice
NPI 1548258197
33 S VILLA AVE SUITE 2
Villa Park, IL 60181
(630) 832-9000
✔ PECOS✔ Accepts MedicareSame address
Inna Milgram, MD
Internal Medicine
NPI 1932197597
33 S VILLA AVE SUITE 2
Villa Park, IL 60181
(630) 832-9000
✔ PECOS✔ Accepts MedicareSame address

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 14D0416770

Villa Medical Arts · Villa Park, IL
Active · expires Mar 13, 2027
CLIA Number14D0416770
Laboratory TypeCommunity Clinic
Certificate Effective DateMarch 14, 2025
Certificate Expiration DateMarch 13, 2027
Laboratory DirectorInna Milgram MD
Laboratory Phone(630) 832-9000
Laboratory LocationVilla Medical Arts33 S Villa Ave, Ste 2, Villa Park, IL 60181
CLIA data matches this NPI record on: Address 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 Villa Medical Arts's NPI number?

The NPI number for Villa Medical Arts is 1124058029. It was assigned to this organization in the NPPES registry on July 4, 2006.

Where is Villa Medical Arts located?

Villa Medical Arts is located at 33 S. Villa Ave. Suite 2, Villa Park, IL 60181. The listed phone number is (630) 832-9000.

What is Villa Medical Arts's specialty?

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

Is Villa Medical Arts enrolled in Medicare?

Yes. Villa Medical Arts is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Villa Medical Arts?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians reassign their Medicare billing to Villa Medical Arts, in Family Practice and Internal Medicine. 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, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Villa Medical Arts hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 14D0416770) is associated with this NPI, valid through March 13, 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 Villa Medical Arts was last updated on March 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.