DR. JUAN VILLAFANE M.D.
NPI 1538201744
Internal Medicine - Adult Congenital Heart Disease in Louisville, KY
NPI Status: Active since February 13, 2007
Contact Information
731 E BROADWAY
LOUISVILLE, KY
ZIP 40202
Phone: (502) 584-3200
Fax: (502) 584-3333
- Individual
- Male
- Internal Medicine
- Adult Congenital Heart Disease
- PECOS Enrolled
About JUAN VILLAFANE
This page provides the complete NPI Profile along with additional information for Juan Villafane, an internist established in Louisville, Kentucky with a medical specialization in Internal Medicine, focusing in adult congenital heart disease . The healthcare provider is registered in the NPI registry with number 1538201744 assigned on February 2007. The practitioner's primary taxonomy code is 207RA0002X with license number 24893 (KY). The provider is registered as an individual and his NPI record was last updated 6 years ago.
- NPI
- 1538201744
- Provider Name
- DR. JUAN VILLAFANE M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 731 E BROADWAY LOUISVILLE, KY 40202
- Location Phone
- (502) 584-3200
- Location Fax
- (502) 584-3333
- Mailing Address
- 743 E BROADWAY # 300 LOUISVILLE, KY 40202
- Mailing Phone
- (502) 584-3200
- Mailing Fax
- (502) 584-3333
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-13-2007
- Last Update Date
- 08-14-2020
- Code Navigator
An internist like Juan Villafane is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Adult Congenital Heart Disease
- Taxonomy Code
- 207RA0002X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 24893
- License State
- KY
- Taxonomy Description
- A physician who specializes in the care and treatment of adults with congenital heart disease. Adult congenital heart disease (ACHD) physicians are trained to understand the complexities of congenital heart disease, anatomy, physiology, surgical repairs, and long-term complications and use that to manage ACHD with acquired heart disease, including heart failure, arrhythmias, and pulmonary hypertension.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 2080P0202X | Allopathic & Osteopathic Physicians | Pediatrics | 24893 (KY) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 64248933 | MEDICAID (05) | KY | |
| 100020940 | MEDICAID (05) | IN |
Medicare Participation & PECOS Enrollment Status
Juan Villafane is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1538201744, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 66 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 2 providers are registered at the same or a nearby location.
LOUISVILLE, KY 40202
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1538201744, enumerated as an "individual" on February 13, 2007.
The provider is located at 731 E BROADWAY LOUISVILLE, KY 40202 and the phone number is (502) 584-3200.
Internal Medicine with taxonomy code 207RA0002X and a focus in Adult Congenital Heart Disease.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
