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DR. EDUARDO J. VILLA MD
NPI 1447347802
Internal Medicine - Gastroenterology in Chicago, IL

Active since October 06, 2006PECOS Enrolled
93.08/100
CMS Quality Rating
5140 N. CALIFORNIA AVE., SUITE 545-GMP, CHICAGO, IL 60625(773) 907-3038(773) 989-3815 Get Directions Write a Review

NPPES record last updated: April 12, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 12, 2021, Apr 2, 2021, Oct 30, 2020 and 1 more (4 updates tracked since 2018).

About Dr. Eduardo J. Villa Md NPPES

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

DR. EDUARDO J. VILLA MD (NPI 1447347802) is an individual gastroenterology provider in Chicago, Illinois, licensed in Illinois (036074074) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Prospect Heights.

NPPES Registry Identity

NPI1447347802
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameDR. EDUARDO J. VILLACredential: MD
Location Address5140 N. CALIFORNIA AVE., SUITE 545-GMPChicago, IL 60625
Mailing Address5140 N. California Ave., Suite 545-gmpChicago, IL 60625 · (773) 907-3038 · Fax (773) 989-3815
Phone(773) 907-3038
Fax(773) 989-3815
Sole ProprietorYes
Enumeration DateOctober 6, 2006
Last NPPES UpdateApril 12, 20214 updates tracked since enumeration
NPPES CertifiedApril 12, 2021
✔ NPI 1447347802 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License✔ Licensed in IL · 036074074
Definition
An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.
5140 N. CALIFORNIA AVE., Chicago, IL 60625
Open in Google Maps ↗

Other Names 1

Other Name (5)Dr. Eduardo De Jesus Villa Md

Secondary Practice Location 1

Location 1622 N Milwaukee AveProspect Heights, IL 60070-2353 · Phone (847) 520-4887 · Fax (847) 520-4936

Other Identifiers 1

MedicaidNA643303IL

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Eduardo J. Villa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

2

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

Swedish Covenant Management Services, Inc
Same address
Emergency Medicine
5140 N CALIFORNIA AVE
Chicago, IL 60625
  • Reassigned Medicare billing, Illinois enrollment
  • 350 clinicians in this Medicare group
NPI 1962049551 (847) 570-2040
Endeavor Health Medical Group
6.2 mi
Allergy & Immunology
1000 CENTRAL ST
Evanston, IL 60201
  • Reassigned Medicare billing, Illinois enrollment
  • 4,841 clinicians in this Medicare group
NPI 1497701882 (847) 570-5235

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 10

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.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
54 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.
48 services40 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
39 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.
30 services26 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
23 services23 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
18 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60625 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

Reported Quality Measures

Breast Cancer Screening
Percentage of women 50-74 years of age who had a mammogram to screen for breast cancer
98%59 patients5/55-star benchmark: 96%
Colorectal Cancer Screening
Percentage of adults 50-75 years of age who had appropriate screening for colorectal cancer
98%51 patients4/55-star benchmark: 99%
Documentation of Current Medications in the Medical Record
Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.
100%716 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…
100%316 patients5/55-star benchmark: 100%
Urinary Incontinence: Assessment of Presence or Absence of Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older who were assessed for the presence or absence of urinary incontinence within 12 months
100%83 patients5/55-star benchmark: 100%
Urinary Incontinence: Plan of Care for Urinary Incontinence in Women Aged 65 Years and Older
Percentage of female patients aged 65 years and older with a diagnosis of urinary incontinence with a documented plan of care for urinary incontinence at least once within 12 months
100%28 patients
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 4

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

VERGHESE MATHEW M.D.
Internal Medicine (Interventional Cardiology)
5140 N. CALIFORNIA AVE., SUITE 700- GMP
CHICAGO, IL 60625
Cook County (773) 989-3957
SRIYA MURALIDHARAN MD
Internal Medicine (Gastroenterology)
5140 N. CALIFORNIA AVE., DEPARTMENT OF GASTROENTEROLOGY
CHICAGO, IL 60625
Cook County (773) 907-3038
CARL K MOSHOVITIS MD
Internal Medicine (Interventional Cardiology)
5140 N. CALIFORNIA AVE., SUITE 780-GMP
CHICAGO, IL 60625
Cook County (773) 989-3957
SUSAN HAIDO, MD PC
Family Medicine
5140 N. CALIFORNIA AVE., SUITE #620
CHICAGO, IL 60625
Cook County (773) 275-8200

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 Eduardo Villa's NPI number?

The NPI number for Eduardo Villa is 1447347802. It was assigned to this individual provider in the NPPES registry on October 6, 2006. The provider is also known as Dr. Eduardo De Jesus Villa MD.

Where is Eduardo Villa located?

Eduardo Villa practices at 5140 N. California Ave. Suite 545-Gmp, Chicago, IL 60625. The listed phone number is (773) 907-3038.

What is Eduardo Villa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Eduardo Villa enrolled in Medicare?

Yes. Eduardo Villa is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Eduardo Villa's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eduardo Villa reassigns Medicare benefits to 2 organizations: Swedish Covenant Management Services, Inc (Chicago, IL) and Endeavor Health Medical Group (Evanston, IL). Each 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 Eduardo Villa's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Eduardo Villa was last updated on April 12, 2021. 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.