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EDWIN ENRIQUE VILLARREAL MD
NPI 1447418397
Hospitalist in Demorest, GA

Active since May 28, 2008PECOS EnrolledAccepts Medicare Assignment
541 HISTORIC HWY 441-N, DEMOREST, GA 30535(770) 219-7078(770) 219-7365 Get Directions Write a Review

NPPES record last updated: February 24, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edwin Enrique Villarreal Md NPPES

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

EDWIN ENRIQUE VILLARREAL MD (NPI 1447418397) is an individual hospitalist provider in Demorest, Georgia, licensed in Tennessee (63221) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2002).

NPPES Registry Identity

NPI1447418397
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameEDWIN ENRIQUE VILLARREALCredential: MD
Location Address541 HISTORIC HWY 441-NDemorest, GA 30535-4528
Mailing AddressPo Box 658Gainesville, GA 30503-0658 · (770) 718-1122 · Fax (770) 535-7445
Phone(770) 219-7078
Fax(770) 219-7365
Sole ProprietorNo
Medical School CMSOtherGraduated 2002
Enumeration DateMay 28, 2008
Last NPPES UpdateFebruary 24, 2021
NPPES CertifiedFebruary 24, 2021
✔ NPI 1447418397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
Licenses✔ Licensed in TN · 63221✔ Licensed in GA · 066663
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 066663 (GA)
541 HISTORIC HWY 441-N, Demorest, GA 30535
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Other Names 1

Other Name (5)Edwin Villarreal Mazzilli Md

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

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

Edwin Enrique Villarreal Md 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 ID5496925547
PECOS Enrollment IDI20140523001722
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.
195 services87 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.
149 services62 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.
65 services64 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.
53 services52 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
22 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30535 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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.

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
100%212 patients5/55-star benchmark: 100%
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.

PAMELA ROLAND FNP
Nurse Practitioner (Family)
541 HISTORIC HWY 441-N
DEMOREST, GA 30535
Habersham County (770) 533-6521
JOHN J HAN DO
Hospitalist
541 HISTORIC HWY 441-N
DEMOREST, GA 30535
Habersham County (770) 219-7078
ARUANA EMERGENCY PHYSICIANS LLC
Emergency Medicine
541 HISTORIC HWY 441-N
DEMOREST, GA 30535
Habersham County (973) 251-1132
GEORGIA EM-I MEDICAL SERVICES PC
Emergency Medicine
541 HISTORIC HWY 441-N
DEMOREST, GA 30535
Habersham County (469) 401-2386

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 Edwin Villarreal's NPI number?

The NPI number for Edwin Villarreal is 1447418397. It was assigned to this individual provider in the NPPES registry on May 28, 2008. The provider is also known as Edwin Villarreal Mazzilli MD.

Where is Edwin Villarreal located?

Edwin Villarreal practices at 541 Historic Hwy 441-N, Demorest, GA 30535. The listed phone number is (770) 219-7078.

What is Edwin Villarreal's specialty?

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

Is Edwin Villarreal enrolled in Medicare?

Yes. Edwin 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.

What insurance does Edwin Villarreal accept?

Health plans from Blue Cross and Blue Shield of Alabama list Edwin 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.

When was this NPI record last updated?

The NPPES record for Edwin Villarreal was last updated on February 24, 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.