DR. MARIA SOPHIA S. VILLANUEVA M.D
NPI 1295058758
Colon & Rectal Surgery in Winchester, VA

Q: What is Maria Sophia Villanueva's NPI number?

The NPI number for Maria Sophia Villanueva is 1295058758. It was assigned to this individual provider in the NPPES registry on March 11, 2010. The provider is also known as Maria Sophia L. Subong M.D..

Q: What is Maria Sophia Villanueva's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Active since March 11, 2010PECOS EnrolledAccepts Medicare Assignment

400 CAMPUS BLVD STE 210, WINCHESTER, VA 22601(540) 536-3470(540) 536-3471 Get Directions Write a Review

NPPES record last updated: March 3, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 3, 2023, Mar 9, 2022, Nov 11, 2021 and 1 more (4 updates tracked since 2016).

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About Dr. Maria Sophia S. Villanueva M.d NPPES

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

DR. MARIA SOPHIA S. VILLANUEVA M.D (NPI 1295058758) is an individual colon & rectal surgery provider in Winchester, Virginia, licensed in Virginia (0101273219) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS, is affiliated with Winchester Medical Center, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1295058758

Entity TypeIndividualFemale

Primary Taxonomy208C00000X

Provider Legal NameDR. MARIA SOPHIA S. VILLANUEVACredential: M.D

Location Address400 CAMPUS BLVD STE 210Winchester, VA 22601-6906

Mailing Address400 Campus Blvd Ste 210Winchester, VA 22601-6906 · (540) 536-3470 · Fax (540) 536-3471

Phone(540) 536-3470

Fax(540) 536-3471

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateMarch 11, 2010

Last NPPES UpdateMarch 3, 20234 updates tracked since enumeration

NPPES CertifiedMarch 3, 2023

✔ NPI 1295058758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208C00000X

License✔ Licensed in VA · 0101273219

Definition

A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.

400 CAMPUS BLVD STE 210, Winchester, VA 22601

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Other Names 1

Former Name (1)Maria Sophia L. Subong M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource.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

Dr. Maria Sophia S. Villanueva 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 ID4688808553

PECOS Enrollment IDI20210929002953

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.

Medicare Billing Reassignments

Medicare enrollment records show Maria Sophia Villanueva reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Winchester Medical Center

0.2 mi

Pulmonary Disease

190 CAMPUS BLVD STE 410
Winchester, VA 22601

Reassigned Medicare billing, Virginia enrollment
756 clinicians in this Medicare group

NPI 1053814129 (540) 536-5980

Valley Physician Enterprise, Inc.

0.3 mi

Ophthalmology

190 CAMPUS BLVD STE 210
Winchester, VA 22601

Reassigned Medicare billing, Virginia enrollment
386 clinicians in this Medicare group

NPI 1053800961 (540) 536-5820

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 8

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.

Diagnostic exam of anus using an endoscope 46600

This procedure involves using a thin, flexible instrument called an endoscope to examine the anal area. It helps detect any abnormal conditions or issues. It's a safe, routine exam performed by a healthcare professional.

63 services60 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.

46 services38 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

45 services36 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.

44 services44 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

44 services44 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

42 services42 patients

Hospital Affiliations CMS Care Compare 3

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

Winchester Medical Center

Acute Care Hospitals · Winchester, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number490005

Location1840 Amherst StWinchester, VA 22601 · Winchester City County

Emergency services Birthing friendly

Shenandoah Memorial Hospital

Critical Access Hospitals · Woodstock, VA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number491305

Location759 South Main StreetWoodstock, VA 22664 · Shenandoah County

Emergency services

Hampshire Memorial Hospital

Critical Access Hospitals · Romney, WV

OwnershipVoluntary non-profit - Private

CMS Certification Number511311

Location363 Sunrise BoulevardRomney, WV 26757 · Hampshire County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22601 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

$70.08 typical visit price

range $18.07 – $138.91

Typical copayment $17.52 (range $4.51 – $34.72)

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.

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.

Ostomy skin barrier, solid 4 x 4 or equivalent, extended wear, without built-in convexity, each A4385

DME-Orthotic Devices · category DF010N

3 suppliers14 claims360 services$4.81 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 8

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

SHALINI ROHINI REDDY MD

Thoracic Surgery (Cardiothoracic Vascular Surgery)