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JOHN G VILLANUEVA MD
NPI 1265410427
Family Medicine in Prince George, VA

Active since January 06, 2006PECOS EnrolledAccepts Medicare Assignment
4260 CROSSINGS BLVD, SUITE 2, PRINCE GEORGE, VA 23875(804) 452-5800(804) 452-5801 Get Directions Write a Review

NPPES record last updated: January 24, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1265410427
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJOHN G VILLANUEVACredential: MD
Location Address4260 CROSSINGS BLVD, SUITE 2Prince George, VA 23875-1400
Mailing AddressPo Box 220, 25892 N. James Madison HwyNew Canton, VA 23123 · (434) 581-3271 · Fax (434) 581-1704
Phone(804) 452-5800
Fax(804) 452-5801
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateJanuary 6, 2006
Last NPPES UpdateJanuary 24, 2014
✔ NPI 1265410427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in VA · 0101228975
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4260 CROSSINGS BLVD, Prince George, VA 23875
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Other Identifiers 2

Medicare UPINH32666
Medicare PIN015858C46VA

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

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.

PECOS PAC ID3870670979
PECOS Enrollment IDI20080414000030
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.

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.

Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
34 services26 patients
Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677
The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.
21 services21 patients
Smoking and tobacco use intensive counseling, 4-10 minutes 99406
This service provides brief, intensive counseling (4-10 minutes) to support you in quitting smoking or tobacco use. It involves discussing the risks of tobacco use, benefits of quitting, and strategies to help you stop. It's a critical step towards a healthier lifestyle.
17 services13 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
12 services12 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
12 services12 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

John Randolph Medical Center

Acute Care Hospitals · Hopewell, VA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number490020
Location411 West Randolph RoadHopewell, VA 23860 · Hopewell City County
Emergency services

Medical College Of Virginia Hospitals

Acute Care Hospitals · Richmond, VA
4/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number490032
LocationPost Office Box 980510 1250 East Marshall StreetRichmond, VA 23298 · Richmond City County
Emergency services Birthing friendly

Community Memorial Hospital

Acute Care Hospitals · South Hill, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490098
Location1755 North Mecklenburg AvenueSouth Hill, VA 23970 · Mecklenburg County
Emergency services Birthing friendly

Physician 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.

New Patient
$86.88 typical visit price
range $56.19 – $170.30
Typical copayment $21.72 (range $14.04 – $42.57)
Most-billed visit code 99203
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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

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
4 suppliers16 claims35 services$4.87 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 3

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

DR. MELBA WILLIAMS BRYANT
Dentist (General Practice)
4260 CROSSINGS BLVD, SUITE 2
PRINCE GEORGE, VA 23875
Prince George County (804) 452-5800
MARY NNEKA UKPABI-EGBUNIWE FNP
Nurse Practitioner (Psychiatric/Mental Health)
4260 CROSSINGS BLVD, SUITE 2
PRINCE GEORGE, VA 23875
Prince George County (804) 452-5800
CENTRAL VIRGINIA HEALTH SERVICES INC
Clinic/Center (Federally Qualified Health Center (FQHC))
4260 CROSSINGS BLVD, SUITE 2
PRINCE GEORGE, VA 23875
Prince George County (434) 542-5560

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.

Is John Villanueva affiliated with any hospitals?

According to CMS data, John Villanueva is affiliated with John Randolph Medical Center, Medical College Of Virginia Hospitals 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.