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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. NYRIA CAROLINA VILLARREAL M.D.
NPI 1376869784
Internal Medicine - Infectious Disease in Anderson, IN

Active since April 09, 2010PECOS EnrolledAccepts Medicare Assignment
1210 MEDICAL ARTS BLVD STE 210A, ANDERSON, IN 46011(765) 298-4171(765) 298-4969 Get Directions Write a Review

NPPES record last updated: September 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Sep 17, 2026, Jun 14, 2021, Nov 4, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Nyria Carolina Villarreal M.d. NPPES

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

DR. NYRIA CAROLINA VILLARREAL M.D. (NPI 1376869784) is an individual infectious disease provider in Anderson, Indiana, licensed in Indiana (01059578A) and active in the NPI registry since April 2010. She is enrolled in Medicare PECOS, is affiliated with Community Hospital Of Anderson And Madison County, and is a graduate of Other (1994).

NPPES Registry Identity

NPI1376869784
Entity TypeIndividualFemale
Primary Taxonomy207RI0200X
Provider Legal NameDR. NYRIA CAROLINA VILLARREALCredential: M.D.
Location Address1210 MEDICAL ARTS BLVD STE 210AAnderson, IN 46011-3461
Mailing Address6626 E 75th St Ste 500Indianapolis, IN 46250-2890
Phone(765) 298-4171
Fax(765) 298-4969
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateApril 9, 2010
Last NPPES UpdateSeptember 17, 20264 updates tracked since enumeration
NPPES CertifiedSeptember 17, 2026
✔ NPI 1376869784 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 IN · 01059578A
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.
1210 MEDICAL ARTS BLVD STE 210A, Anderson, IN 46011
Open in Google Maps ↗

Other Identifiers 3

OtherP01009908IN · Rr Medicare Ptan
OtherP01214603IN · Rr Medicare Ptan
Medicaid200521140IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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. Nyria Carolina Villarreal 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 ID1355372657
PECOS Enrollment IDI20050826000155
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 Reassignment

Medicare enrollment records show Nyria Villarreal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Community Physicians Of Indiana Inc
25 mi
Family Medicine
7240 SHADELAND STATION, SUITE 300
Indianapolis, IN 46256
  • Reassigned Medicare billing, Indiana enrollment
  • 2,087 clinicians in this Medicare group
NPI 1619105244 (317) 355-5555

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 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.

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.
92 services49 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.
65 services34 patients
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.
28 services18 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.
17 services17 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.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

Community Hospital Of Anderson And Madison County

Acute Care Hospitals · Anderson, IN
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number150113
Location1515 N Madison AveAnderson, IN 46011 · Madison County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46011 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

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 Nyria Villarreal's NPI number?

The NPI number for Nyria Villarreal is 1376869784. It was assigned to this individual provider in the NPPES registry on April 9, 2010.

Where is Nyria Villarreal located?

Nyria Villarreal practices at 1210 Medical Arts Blvd Ste 210A, Anderson, IN 46011. The listed phone number is (765) 298-4171.

What is Nyria Villarreal's specialty?

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

Is Nyria Villarreal enrolled in Medicare?

Yes. Nyria Villarreal 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.

Which organization bills Medicare for Nyria Villarreal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nyria Villarreal reassigns Medicare benefits to Community Physicians Of Indiana Inc (Indianapolis, IN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nyria Villarreal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nyria Villarreal accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Nyria Villarreal 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 Nyria Villarreal affiliated with any hospitals?

According to CMS data, Nyria Villarreal is affiliated with Community Hospital Of Anderson And Madison County.

When was this NPI record last updated?

The NPPES record for Nyria Villarreal was last updated on September 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 51 days 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.