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RAUL VILLANUEVA MD
NPI 1265654263
Internal Medicine - Infectious Disease in Fort Lauderdale, FL

Active since May 02, 2007PECOS Enrolled
1451 NE 4TH AVE, FORT LAUDERDALE, FL 33304(954) 271-0135(954) 271-0135 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Raul Villanueva Md NPPES

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

RAUL VILLANUEVA MD (NPI 1265654263) is an individual infectious disease provider in Fort Lauderdale, Florida, licensed in Florida (ME98244) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Broward Health Medical Center, and is a graduate of Other (1989).

NPPES Registry Identity

NPI1265654263
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameRAUL VILLANUEVACredential: MD
Location Address1451 NE 4TH AVEFort Lauderdale, FL 33304-1033
Mailing Address1451 Ne 4th AveFort Lauderdale, FL 33304-1033 · (954) 271-0135 · Fax (954) 271-0135
Phone(954) 271-0135
Fax(954) 271-0135
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateMay 2, 2007
Last NPPES UpdateJuly 21, 2023
NPPES CertifiedJuly 21, 2023
✔ NPI 1265654263 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in FL · ME98244
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

1451 NE 4TH AVE, Fort Lauderdale, FL 33304
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Other Names 1

Former Name (1)Raul Villanueva Calderon M.d.

Other Identifiers 1

Medicaid278084400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raul Villanueva Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072604917
PECOS Enrollment IDI20070807000832
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 3

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,514 services227 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
819 services142 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
299 services249 patients

Hospital Affiliations CMS Care Compare 3

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

Broward Health Medical Center

Acute Care Hospitals · Fort Lauderdale, FL
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100039
Location1600 S Andrews AveFort Lauderdale, FL 33316 · Broward County
Emergency services Birthing friendly

Holy Cross Hospital

Acute Care Hospitals · Fort Lauderdale, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number100073
Location4725 N Federal HwyFort Lauderdale, FL 33308 · Broward County
Emergency services

Broward Health Imperial Point

Acute Care Hospitals · Fort Lauderdale, FL
2/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100200
Location6401 N Federal HwyFort Lauderdale, FL 33308 · Broward County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33304 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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.

Other Providers at the Same Location NPPES 4

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

SOLSUN MEDICAL INC
Family Medicine
1451 NE 4TH AVE
FORT LAUDERDALE, FL 33304
Broward County (954) 627-9118
DON D FISHER D.O.
Family Medicine
1451 NE 4TH AVE
FORT LAUDERDALE, FL 33304
Broward County (954) 627-9118
MELANIE ROOK ARNP
Nurse Practitioner (Family)
1451 NE 4TH AVE
FORT LAUDERDALE, FL 33304
Broward County (954) 627-9118
VILLANUEVA MEDICAL GROUP LLC
Internal Medicine (Infectious Disease)
1451 NE 4TH AVE
FORT LAUDERDALE, FL 33304
Broward County (954) 271-0135

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 Raul Villanueva's NPI number?

The NPI number for Raul Villanueva is 1265654263. It was assigned to this individual provider in the NPPES registry on May 2, 2007. The provider is also known as Raul Villanueva Calderon M.D..

Where is Raul Villanueva located?

Raul Villanueva practices at 1451 NE 4th Ave, Fort Lauderdale, FL 33304. The listed phone number is (954) 271-0135.

What is Raul Villanueva's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Raul Villanueva enrolled in Medicare?

Yes. Raul Villanueva is registered in the Medicare PECOS enrollment system.

What insurance does Raul Villanueva accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Raul 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 Raul Villanueva affiliated with any hospitals?

According to CMS data, Raul Villanueva is affiliated with Broward Health Medical Center, Holy Cross Hospital and Broward Health Imperial Point.

When was this NPI record last updated?

The NPPES record for Raul Villanueva was last updated on July 21, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.