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DR. BENEDICT CORTEZ VILLANUEVA M.D.
NPI 1376601690
Internal Medicine - Infectious Disease in Fremont, CA

Active since December 06, 2006PECOS EnrolledAccepts Medicare Assignment
86.91/100
CMS Quality Rating
2557 MOWRY AVE STE 12, FREMONT, CA 94538(510) 248-1550(510) 793-8783 Get Directions Write a Review

NPPES record last updated: January 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 23, 2023, Feb 18, 2016 (2 updates tracked since 2016).

About Dr. Benedict Cortez Villanueva M.d. NPPES

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

DR. BENEDICT CORTEZ VILLANUEVA M.D. (NPI 1376601690) is an individual infectious disease provider in Fremont, California, licensed in California (A61699) and active in the NPI registry since December 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1990).

NPPES Registry Identity

NPI1376601690
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. BENEDICT CORTEZ VILLANUEVACredential: M.D.
Location Address2557 MOWRY AVE STE 12Fremont, CA 94538-1614
Mailing Address2557 Mowry Ave Ste 12Fremont, CA 94538-1614 · (510) 248-1550 · Fax (510) 793-8783
Phone(510) 248-1550
Fax(510) 793-8783
Sole ProprietorYes
Medical School CMSOtherGraduated 1990
Enumeration DateDecember 6, 2006
Last NPPES UpdateJanuary 23, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 23, 2023
✔ NPI 1376601690 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 CA · A61699
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.
2557 MOWRY AVE STE 12, Fremont, CA 94538
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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

Dr. Benedict Cortez 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 ID7416140843
PECOS Enrollment IDI20101019000264
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.

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.
756 services166 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.
186 services175 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.
128 services57 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
48 services19 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.
29 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94538 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

86.91/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality81.61
Promoting Interoperability81
Improvement Activities40
Cost73.92

Other Providers at the Same Location NPPES 2

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

MS. JEAN HUANG MD
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2557 MOWRY AVE STE 12
FREMONT, CA 94538
Alameda County (510) 248-1550
JEVON TANG MD
Internal Medicine (Infectious Disease)
2557 MOWRY AVE STE 12
FREMONT, CA 94538
Alameda County (510) 248-1550

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 Benedict Villanueva's NPI number?

The NPI number for Benedict Villanueva is 1376601690. It was assigned to this individual provider in the NPPES registry on December 6, 2006.

Where is Benedict Villanueva located?

Benedict Villanueva practices at 2557 Mowry Ave Ste 12, Fremont, CA 94538. The listed phone number is (510) 248-1550.

What is Benedict Villanueva's specialty?

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

Is Benedict Villanueva enrolled in Medicare?

Yes. Benedict 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.

When was this NPI record last updated?

The NPPES record for Benedict Villanueva was last updated on January 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.