SUMMER HAZEL VILLA MD
NPI 1487394961
General Practice in San Antonio, TX
About Summer Hazel Villa Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SUMMER HAZEL VILLA MD (NPI 1487394961) is an individual general practice provider in San Antonio, Texas, licensed in Colorado (0072319) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Summer Hazel Villa Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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.
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
FORT SAM HOUSTON, TX 78234
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 Summer Villa's NPI number?
The NPI number for Summer Villa is 1487394961. It was assigned to this individual provider in the NPPES registry on March 31, 2022.
Where is Summer Villa located?
Summer Villa practices at 3551 Roger Brooke Dr, San Antonio, TX 78234. The listed phone number is (210) 916-4789.
What is Summer Villa's specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Summer Villa enrolled in Medicare?
Yes. Summer Villa is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Summer Villa was last updated on January 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Summer Hazel Villa, MD · NPI 1487394961
General Practice physician in San Antonio, Texas. Individual provider, active in the CMS NPPES registry since March 31, 2022.
## Identity
- **NPI:** 1487394961 (Entity type: Individual)
- **Enumerated:** March 31, 2022
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **State license:** 0072319 (Colorado)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3551 ROGER BROOKE DR, San Antonio, TX 78234-4504
- **Phone:** (210) 916-4789
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** January 19, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1487394961) · Data from the CMS NPPES public registry.