JOHN G VILLANUEVA MD
NPI 1265410427
Family Medicine in Prince George, VA
About John G Villanueva Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN G VILLANUEVA MD (NPI 1265410427) is an individual family medicine provider in Prince George, Virginia, licensed in Virginia (0101228975) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, is affiliated with John Randolph Medical Center, and is a graduate of Other (1991).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
John G Villanueva 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.
Medicare Billing Reassignment
Medicare enrollment records show John Villanueva reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Prince George, VA 23875
- Reassigned Medicare billing, Virginia enrollment
- 129 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
John Randolph Medical Center
Acute Care Hospitals · Hopewell, VACommunity Memorial Hospital
Acute Care Hospitals · South Hill, VAPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23875 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 3
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
PRINCE GEORGE, VA 23875
PRINCE GEORGE, VA 23875
PRINCE GEORGE, VA 23875
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 John Villanueva's NPI number?
The NPI number for John Villanueva is 1265410427. It was assigned to this individual provider in the NPPES registry on January 6, 2006.
Where is John Villanueva located?
John Villanueva practices at 4260 Crossings Blvd Suite 2, Prince George, VA 23875. The listed phone number is (804) 452-5800.
What is John Villanueva's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is John Villanueva enrolled in Medicare?
Yes. John Villanueva is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for John Villanueva's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Villanueva reassigns Medicare benefits to Central Virginia Health Services Inc (Prince George, VA). The 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 John Villanueva's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Villanueva accept?
Health plans from Oscar Health list John Villanueva as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is John Villanueva affiliated with any hospitals?
According to CMS data, John Villanueva is affiliated with John Randolph Medical Center and Community Memorial Hospital.
When was this NPI record last updated?
The NPPES record for John Villanueva was last updated on January 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.
# John G Villanueva, MD · NPI 1265410427
Family Medicine physician in Prince George, Virginia. Individual provider, active in the CMS NPPES registry since January 6, 2006.
## Identity
- **NPI:** 1265410427 (Entity type: Individual)
- **Enumerated:** January 6, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 0101228975 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4260 CROSSINGS BLVD, SUITE 2, Prince George, VA 23875-1400
- **Phone:** (804) 452-5800 · **Fax:** (804) 452-5801
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Central Virginia Health Services Inc (NPI 1902934680, Prince George, VA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 1991
## Record status
- **NPPES last updated:** January 24, 2014
- **Other identifiers:** Medicare UPIN H32666; Medicare PIN 015858C46 (VA)
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Source: [NPI Profile](https://npiprofile.com/npi/1265410427) · Data from the CMS NPPES public registry.