MICHAEL VILLAS PHYSICIAN ASSISTANT
NPI 1497513931
Physician Assistant - Medical in Grand Forks, ND
About Michael Villas Physician Assistant NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MICHAEL VILLAS PHYSICIAN ASSISTANT (NPI 1497513931) is an individual medical provider in Grand Forks, North Dakota, licensed in South Dakota (1497513931) and active in the NPI registry since March 2024. He is enrolled in Medicare PECOS and maintains a secondary practice location in Huron.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Michael Villas Physician Assistant is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
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 Michael Villas's NPI number?
The NPI number for Michael Villas is 1497513931. It was assigned to this individual provider in the NPPES registry on March 11, 2024.
Where is Michael Villas located?
Michael Villas practices at 5627 S 11th St, Grand Forks, ND 58201. The listed phone number is (701) 330-4510.
What is Michael Villas's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Michael Villas enrolled in Medicare?
Yes. Michael Villas is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Michael Villas was last updated on August 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.
# Michael Villas, PHYSICIAN ASSISTANT · NPI 1497513931
Medical physician in Grand Forks, North Dakota. Individual provider, active in the CMS NPPES registry since March 11, 2024.
## Identity
- **NPI:** 1497513931 (Entity type: Individual)
- **Enumerated:** March 11, 2024
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 1497513931 (South Dakota)
- **Sole proprietor:** No
## Practice location
- **Address:** 5627 S 11TH ST, Grand Forks, ND 58201-3632
- **Phone:** (701) 330-4510
## 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:** August 3, 2026
---
Source: [NPI Profile](https://npiprofile.com/npi/1497513931) · Data from the CMS NPPES public registry.