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DR. SERGIO J VILLEGAS DO
NPI 1194460477
Student in an Organized Health Care Education/Training Program in Roseburg, OR

Active since May 02, 2022PECOS Enrolled
150 NE KENNETH FORD DR, ROSEBURG, OR 97470(541) 672-9596 Get Directions Write a Review

NPPES record last updated: April 20, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 20, 2026, May 2, 2022 (2 updates tracked since 2022).

About Dr. Sergio J Villegas Do NPPES

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

DR. SERGIO J VILLEGAS DO (NPI 1194460477) is an individual student in an organized health care education/training program in Roseburg, Oregon, licensed in Oregon (PG230392) and active in the NPI registry since May 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1194460477
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDR. SERGIO J VILLEGASCredential: DO
Location Address150 NE KENNETH FORD DRRoseburg, OR 97470-1042
Mailing Address150 Ne Kenneth Ford DrRoseburg, OR 97470-1042 · (626) 506-6200
Phone(541) 672-9596
Sole ProprietorNo
Enumeration DateMay 2, 2022
Last NPPES UpdateApril 20, 20262 updates tracked since enumeration
NPPES CertifiedApril 20, 2026
✔ NPI 1194460477 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in OR · PG230392
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
150 NE KENNETH FORD DR, Roseburg, OR 97470
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Sergio J Villegas Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

MISHA MARIE PEEL DO
Family Medicine
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
DR. JUSTIN L JONES DDS
Dentist (Dental Public Health)
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
DR. JOHN TRAVIS MELLING MD
Family Medicine
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
ARIELLE FAITH BURNETT DMD
Dentist
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
UMPQUA COMMUNITY HEALTH CENTER, INC.
Pharmacy (Community/Retail Pharmacy)
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
JORDAN ENDRES DDS
Dentist (General Practice)
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
MIRRANDA RENEE MANDERA CHW
Community Health Worker
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596
DR. OBIAGERI EGEOLU MD
Family Medicine
150 NE KENNETH FORD DR
ROSEBURG, OR 97470
Douglas County (541) 672-9596

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 Sergio Villegas's NPI number?

The NPI number for Sergio Villegas is 1194460477. It was assigned to this individual provider in the NPPES registry on May 2, 2022.

Where is Sergio Villegas located?

Sergio Villegas practices at 150 NE Kenneth Ford Dr, Roseburg, OR 97470. The listed phone number is (541) 672-9596.

What is Sergio Villegas's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Sergio Villegas enrolled in Medicare?

Yes. Sergio Villegas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Sergio Villegas was last updated on April 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 months 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.