DR. OMAR MIJAEL VILLARROEL FERNANDEZ MD
NPI 1457325334
Pediatrics in Rockford, IL

Q: What is Omar Villarroel Fernandez's NPI number?

The NPI number for Omar Villarroel Fernandez is 1457325334. It was assigned to this individual provider in the NPPES registry on February 15, 2006. The provider is also known as Dr. Omar Mijael Villarroel MD.

Q: What is Omar Villarroel Fernandez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Active since February 15, 2006PECOS Enrolled

1401 E STATE ST, 3RD FLOOR, ROCKFORD, IL 61104(912) 658-1155 Get Directions Write a Review

NPPES record last updated: April 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 21, 2026, Aug 11, 2022, May 17, 2021 and 1 more (4 updates tracked since 2021).

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About Dr. Omar Mijael Villarroel Fernandez Md NPPES

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

DR. OMAR MIJAEL VILLARROEL FERNANDEZ MD (NPI 1457325334) is an individual pediatrics provider in Rockford, Illinois, licensed in Missouri (2018018492) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1457325334

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. OMAR MIJAEL VILLARROEL FERNANDEZCredential: MD

Location Address1401 E STATE ST, 3RD FLOORRockford, IL 61104-2315

Mailing Address200 Corporate BlvdLafayette, LA 70508-3870 · (800) 893-9698

Phone(912) 658-1155

Sole ProprietorYes

Enumeration DateFebruary 15, 2006

Last NPPES UpdateApril 21, 20264 updates tracked since enumeration

NPPES CertifiedApril 21, 2026

✔ NPI 1457325334 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in MO · 2018018492✔ Licensed in NC · 2008-01887✔ Licensed in IL · 036117065✔ Licensed in NM · MD2005-0619✔ Licensed in GA · 058592✔ Licensed in IN · 01068033A

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedHospitalistTaxonomy 208M00000X · License 036117065 (IL), 2018018492 (MO), M-16558 (ID), 058592 (GA)

1401 E STATE ST, Rockford, IL 61104

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Other Names 1

Other Name (5)Dr. Omar Mijael Villarroel Md

Secondary Practice Locations 3

Location 111115 Parkview Plaza DrFort Wayne, IN 46845-1701 · Phone (260) 266-5400 · Fax (260) 425-5715

Location 2751 Sappington Bridge RdSullivan, MO 63080-2354 · Phone (573) 468-4186 · Fax (573) 860-6179

Location 31055 N Curtis RdBoise, ID 83706-1309 · Phone (208) 367-6995

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 (PECOS)

Dr. Omar Mijael Villarroel Fernandez 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

Medicare enrollment records show Omar Villarroel Fernandez reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Granite City Hospitalist Services LLC

311 mi

Hospitalist

2250 N ILLINOIS AVE
Carbondale, IL 62901

Reassigned Medicare billing, Illinois enrollment
88 clinicians in this Medicare group

NPI 1669926424 (618) 833-1691

Butler Physician Services, LLC

385 mi

Internal Medicine

3100 OAK GROVE RD
Poplar Bluff, MO 63901

Reassigned Medicare billing, Missouri enrollment
73 clinicians in this Medicare group

NPI 1982056545 (573) 776-2000

Vidant Medical Group LLC

777 mi

Multi-Specialty

2100 STANTONSBURG RD
Greenville, NC 27834

Reassigned Medicare billing, North Carolina enrollment
1,653 clinicians in this Medicare group

NPI 1477648731 (252) 847-2181

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61104 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

$85.71 typical visit price

range $54.80 – $168.44

Typical copayment $21.42 (range $13.70 – $42.11)

Most-billed visit code 99203

Established Patient

$97.25 typical visit price

range $17.16 – $136.56

Typical copayment $24.31 (range $4.29 – $34.14)

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.

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.

MRS. MANISHA AJIT PATEL DPT

Physical Therapist