DR. MIRIAM VILLEGAS DO
NPI 1356458277
Hospitalist in Middletown, NY

Q: What is Miriam Villegas's NPI number?

The NPI number for Miriam Villegas is 1356458277. It was assigned to this individual provider in the NPPES registry on August 24, 2006.

Q: What is Miriam Villegas's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Q: When was this NPI record last updated?

The NPPES record for Miriam Villegas was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since August 24, 2006PECOS EnrolledAccepts Medicare Assignment

155 CRYSTAL RUN RD, MIDDLETOWN, NY 10941(845) 703-6999(845) 703-6297 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 16, 2020, Dec 11, 2015 (2 updates tracked since 2015).

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About Dr. Miriam Villegas Do NPPES

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

DR. MIRIAM VILLEGAS DO (NPI 1356458277) is an individual hospitalist provider in Middletown, New York, licensed in New York (219752) and active in the NPI registry since August 2006. She is enrolled in Medicare PECOS, is affiliated with Garnet Health Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1356458277

Entity TypeIndividualFemale

Primary Taxonomy208M00000X

Provider Legal NameDR. MIRIAM VILLEGASCredential: DO

Location Address155 CRYSTAL RUN RDMiddletown, NY 10941-4028

Mailing Address155 Crystal Run RdMiddletown, NY 10941-4028 · (845) 703-6999 · Fax (845) 703-6297

Phone(845) 703-6999

Fax(845) 703-6297

Sole ProprietorNo

Medical School CMSNew York College Of Osteo Medicine Of New York Institute Of TechnologyGraduated 1998

Enumeration DateAugust 24, 2006

Last NPPES UpdateMay 31, 20242 updates tracked since enumeration

NPPES CertifiedMay 24, 2024

✔ NPI 1356458277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians

Taxonomy Code208M00000X

License✔ Licensed in NY · 219752

Definition

Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.

Also ListedInternal MedicineTaxonomy 207R00000X · License 219752 (NY)

155 CRYSTAL RUN RD, Middletown, NY 10941

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Secondary Practice Locations 2

Location 168 Harris Bushville RdHarris, NY 12742 · Phone (845) 333-8484 · Fax (845) 333-6981

Location 2707 E Main StMiddletown, NY 10940-2650 · Phone (845) 333-3370 · Fax (845) 333-3372

Other Identifiers 1

Medicaid02176598NY

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. Miriam Villegas Do 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 ID6800819111

PECOS Enrollment IDI20060112000100

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 Miriam Villegas reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Crystal Run Healthcare Physicians LLP

Same address

General Practice

155 CRYSTAL RUN RD
Middletown, NY 10941

Reassigned Medicare billing, New York enrollment
434 clinicians in this Medicare group

NPI 1952376410 (845) 703-6999

Garnet Health Doctors PC

0.9 mi

General Practice

707 E MAIN ST
Middletown, NY 10940

Reassigned Medicare billing, New York enrollment
226 clinicians in this Medicare group

NPI 1093138851 (845) 333-7575

Ulster Physician Medicine Services PC

0.9 mi

Internal Medicine

707 E MAIN ST
Middletown, NY 10940

Reassigned Medicare billing, New York enrollment
78 clinicians in this Medicare group

NPI 1194608489 (845) 333-1000

Hudson Vista Medical,pc

16 mi

Internal Medicine

19 LAUREL AVE # LL1
Cornwall, NY 12518

Reassigned Medicare billing, New York enrollment
79 clinicians in this Medicare group

NPI 1659666840 (845) 534-7080

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 7

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.

333 services208 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.

67 services52 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

66 services66 patients

Hospital discharge day management, more than 30 minutes 99239

Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.

57 services57 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.

34 services34 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.

30 services30 patients

Hospital Affiliations CMS Care Compare 2

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

Garnet Health Medical Center

Acute Care Hospitals · Middletown, NY

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330126

Location707 East Main StreetMiddletown, NY 10940 · Orange County

Emergency services Birthing friendly

St Luke's Cornwall Hospital

Acute Care Hospitals · Newburgh, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Other

CMS Certification Number330264

Location70 Dubois StreetNewburgh, NY 12550 · Orange County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10941 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

$141.77 typical visit price

range $61.88 – $187.05

Typical copayment $35.44 (range $15.47 – $46.76)

Most-billed visit code 99204

Established Patient

$108.56 typical visit price

range $19.92 – $151.94

Typical copayment $27.14 (range $4.98 – $37.98)

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 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

3 suppliers15 claims16 services$19.65 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

4 suppliers28 claims29 services$75.23 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 20

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

RAFEEL O SYED MD

Internal Medicine (Nephrology)