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MARIO RAUL VILLALBA M.D.
NPI 1285849190
Surgery in Royal Oak, MI

Active since May 14, 2007PECOS EnrolledAccepts Medicare Assignment
3535 W 13 MILE RD, SUITE 501, ROYAL OAK, MI 48073(248) 288-1130 Get Directions Write a Review

NPPES record last updated: October 23, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 23, 2020, May 22, 2016 (2 updates tracked since 2016).

About Mario Raul Villalba M.d. NPPES

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

MARIO RAUL VILLALBA M.D. (NPI 1285849190) is an individual surgery provider in Royal Oak, Michigan, licensed in Michigan (4301084028) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Beaumont Hospital Royal Oak, and is a graduate of Wayne State University School Of Medicine (2004).

NPPES Registry Identity

NPI1285849190
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameMARIO RAUL VILLALBACredential: M.D.
Location Address3535 W 13 MILE RD, SUITE 501Royal Oak, MI 48073-6770
Mailing Address3535 W 13 Mile Rd, Suite 501Royal Oak, MI 48073-6770 · (248) 288-1130
Phone(248) 288-1130
Sole ProprietorNo
Medical School CMSWayne State University School Of MedicineGraduated 2004
Enumeration DateMay 14, 2007
Last NPPES UpdateOctober 23, 20202 updates tracked since enumeration
NPPES CertifiedOctober 23, 2020
✔ NPI 1285849190 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in MI · 4301084028
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
3535 W 13 MILE RD, Royal Oak, MI 48073
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community and more.Insurance ›

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

Mario Raul Villalba M.d. 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 ID8921276114
PECOS Enrollment IDI20110713000679
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 9

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.
309 services134 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.
174 services71 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
74 services70 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.
55 services55 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
42 services39 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
30 services30 patients

Hospital Affiliations CMS Care Compare 3

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

Beaumont Hospital Royal Oak

Acute Care Hospitals · Royal Oak, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230130
Location3601 W Thirteen Mile RdRoyal Oak, MI 48073 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital - Farmington Hills

Acute Care Hospitals · Farmington Hills, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230151
Location28050 Grand River AvenueFarmington Hills, MI 48336 · Oakland County
Emergency services Birthing friendly

Beaumont Hospital, Troy

Acute Care Hospitals · Troy, MI
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230269
Location44201 Dequindre RoadTroy, MI 48085 · Oakland County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48073 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
$90.76 typical visit price
range $58.04 – $177.36
Typical copayment $22.69 (range $14.51 – $44.34)
Most-billed visit code 99203
Established Patient
$72.38 typical visit price
range $18.32 – $143.49
Typical copayment $18.09 (range $4.58 – $35.87)
Most-billed visit code 99213
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 20

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

AGNES WROBEL M.D.
Psychiatry & Neurology (Psychiatry)
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 551-1200
DR. HUSNA SHAHNOOR MD
Pediatrics
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 551-3000
HUIYAN JIN
Ophthalmology
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 551-3643
ALMONTASSER BELLA KASSIER MD
Internal Medicine
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 602-8715
DR. RONALD S TAYLOR MD
Physical Medicine & Rehabilitation
3535 W 13 MILE RD, STE 437
ROYAL OAK, MI 48073
Oakland County (248) 288-2210
THWAB FREIHAT
Pediatrics
3535 W 13 MILE RD
ROYAL OAK, MI 48073
Oakland County (248) 551-3000
LMT REHABILITATION ASSOCIATES
Physical Medicine & Rehabilitation
3535 W 13 MILE RD, SUITE 437
ROYAL OAK, MI 48073
Oakland County (248) 288-2210
ABBY NOWAKOWSKI M.D.
Obstetrics & Gynecology
3535 W 13 MILE RD, SUITE 233
ROYAL OAK, MI 48073
Oakland County (248) 551-0417

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 Mario Villalba's NPI number?

The NPI number for Mario Villalba is 1285849190. It was assigned to this individual provider in the NPPES registry on May 14, 2007.

Where is Mario Villalba located?

Mario Villalba practices at 3535 W 13 Mile Rd Suite 501, Royal Oak, MI 48073. The listed phone number is (248) 288-1130.

What is Mario Villalba's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Mario Villalba enrolled in Medicare?

Yes. Mario Villalba 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.

What insurance does Mario Villalba accept?

Health plans from Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company, McLaren Health Plan Community, Priority Health and UnitedHealthcare list Mario Villalba 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 Mario Villalba affiliated with any hospitals?

According to CMS data, Mario Villalba is affiliated with Beaumont Hospital Royal Oak, Beaumont Hospital - Farmington Hills and Beaumont Hospital, Troy.

When was this NPI record last updated?

The NPPES record for Mario Villalba was last updated on October 23, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.