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DR. GINA MARIE VILLANI MD, MPH
NPI 1528147998
Internal Medicine - Hematology & Oncology in New York, NY

Active since November 04, 2006PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
1919 MADISON AVE, THE RALPH LAUREN CENTER FOR CANCER CARE AND PREVENTION, NEW YORK, NY 10035(212) 987-1777(212) 987-1776 Get Directions Write a Review

NPPES record last updated: June 2, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 2, 2023, Dec 28, 2022, Dec 5, 2022 (3 updates tracked since 2022).

About Dr. Gina Marie Villani Md, Mph NPPES

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

DR. GINA MARIE VILLANI MD, MPH (NPI 1528147998) is an individual hematology & oncology provider in New York, New York, licensed in New York (183964) and active in the NPI registry since November 2006. She is enrolled in Medicare PECOS, is affiliated with New York-presbyterian/queens, and is a graduate of State University Of New York At Stony Brook, School Of Medicine (1989).

NPPES Registry Identity

NPI1528147998
Entity TypeIndividualFemale
Primary Taxonomy207RH0003X
Provider Legal NameDR. GINA MARIE VILLANICredential: MD, MPH
Location Address1919 MADISON AVE, THE RALPH LAUREN CENTER FOR CANCER CARE AND PREVENTIONNew York, NY 10035-2745
Mailing Address5645 Main StFlushing, NY 11355-5045 · (212) 987-1777 · Fax (718) 670-1180
Phone(212) 987-1777
Fax(212) 987-1776
Sole ProprietorNo
Medical School CMSState University Of New York At Stony Brook, School Of MedicineGraduated 1989
Enumeration DateNovember 4, 2006
Last NPPES UpdateJune 2, 20233 updates tracked since enumeration
NPPES CertifiedJune 2, 2023
✔ NPI 1528147998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in NY · 183964
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
1919 MADISON AVE, New York, NY 10035
Open in Google Maps ↗

Other Identifiers 2

Medicaid00246075NY
Medicaid01647025NY

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

Dr. Gina Marie Villani Md, Mph 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 ID2961556097
PECOS Enrollment IDI20090825000439
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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
111 services66 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.
84 services51 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.
80 services47 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.
18 services14 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
14 services14 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

New York-Presbyterian/Queens

Acute Care Hospitals · Flushing, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330055
Location56-45 Main StreetFlushing, NY 11355 · Queens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10035 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

HENRY G. GODFREY, M.D., P.C.
Surgery
1919 MADISON AVE
NEW YORK, NY 10035
New York County (212) 987-1777
VALERIE CUYJET N.P.
Nurse Practitioner (Women's Health)
1919 MADISON AVE
NEW YORK, NY 10035
New York County (212) 987-1777
DR. SITARAM PILLARISETTY M.D.
Surgery
1919 MADISON AVE, RALPH LAUREN CENTER
NEW YORK, NY 10035
New York County (212) 987-1777
DR. BRIAN LLOYD HARPER
Preventive Medicine (Public Health & General Preventive Medicine)
1919 MADISON AVE
NEW YORK, NY 10035
New York County (212) 987-1777
MSK RALPH LAUREN CENTER
Internal Medicine (Medical Oncology)
1919 MADISON AVE
NEW YORK, NY 10035
New York County (212) 987-1777
MISS ROSA NOUVINI MD
Internal Medicine (Hematology & Oncology)
1919 MADISON AVE
NEW YORK, NY 10035
New York County (212) 987-1777
HENRY G. GODFREY MD
Surgery
1919 MADISON AVE
NEW YORK, NY 10035
New York County (212) 987-1777
JENNIFER HILDNER
Dietitian, Registered
1919 MADISON AVE
NEW YORK, NY 10035
New York County (212) 987-1777

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 Gina Villani's NPI number?

The NPI number for Gina Villani is 1528147998. It was assigned to this individual provider in the NPPES registry on November 4, 2006.

Where is Gina Villani located?

Gina Villani practices at 1919 Madison Ave The Ralph Lauren Center For Cancer Care And Prevention, New York, NY 10035. The listed phone number is (212) 987-1777.

What is Gina Villani's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Gina Villani enrolled in Medicare?

Yes. Gina Villani 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.

Is Gina Villani affiliated with any hospitals?

According to CMS data, Gina Villani is affiliated with New York-Presbyterian/Queens.

When was this NPI record last updated?

The NPPES record for Gina Villani was last updated on June 2, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.