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VILLANUEVA MEDICAL GROUP LLC
NPI 1609120666
Internal Medicine - Infectious Disease in Fort Lauderdale, FL

Active since October 30, 2012
1451 NE 4TH AVE, FORT LAUDERDALE, FL 33304(954) 271-0135(954) 271-0135 Get Directions Write a Review

NPPES record last updated: July 21, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Villanueva Medical Group Llc NPPES

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

VILLANUEVA MEDICAL GROUP LLC (NPI 1609120666) is a healthcare organization registered as an infectious disease in Fort Lauderdale, Florida and active in the NPI registry since October 2012. The organization lists Raul Villanueva, Owner, as its authorized official.

NPPES Registry Identity

NPI1609120666
Entity TypeOrganization
Primary Taxonomy207RI0200X
Legal Business NameVILLANUEVA MEDICAL GROUP LLC
Location Address1451 NE 4TH AVEFort Lauderdale, FL 33304-1033
Mailing Address1451 Ne 4th AveFort Lauderdale, FL 33304-1033 · (954) 271-0135 · Fax (954) 271-0135
Phone(954) 271-0135
Fax(954) 271-0135
Organization SubpartNo
Authorized OfficialRaul VillanuevaOwner · (954) 271-0135
Enumeration DateOctober 30, 2012
Last NPPES UpdateJuly 21, 2023
NPPES CertifiedJuly 21, 2023
✔ NPI 1609120666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in FL · ME98244
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
1451 NE 4TH AVE, Fort Lauderdale, FL 33304
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Other Identifiers 1

OtherME98244FL · State License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Villanueva Medical Group Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Villanueva Medical Group LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Raul Villanueva, MD
Infectious Disease
NPI 1265654263
1451 NE 4TH AVE
Fort Lauderdale, FL 33304
(954) 271-0135
✔ PECOSSame address

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

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 Villanueva Medical Group LLC's NPI number?

The NPI number for Villanueva Medical Group LLC is 1609120666. It was assigned to this organization in the NPPES registry on October 30, 2012.

Where is Villanueva Medical Group LLC located?

Villanueva Medical Group LLC is located at 1451 NE 4th Ave, Fort Lauderdale, FL 33304. The listed phone number is (954) 271-0135.

What is Villanueva Medical Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Villanueva Medical Group LLC enrolled in Medicare?

Yes. Villanueva Medical Group LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Villanueva Medical Group LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Infectious Disease) reassigns their Medicare billing to Villanueva Medical Group LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Villanueva Medical Group LLC was last updated on July 21, 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.