NIDHI SIMLOTE VILLANUEVA MD, MPH
NPI 1649629916
Family Medicine in East Syracuse, NY

Q: What is Nidhi Simlote Villanueva's NPI number?

The NPI number for Nidhi Simlote Villanueva is 1649629916. It was assigned to this individual provider in the NPPES registry on June 8, 2016. The provider is also known as Nidhi Simlote MD.

Q: What is Nidhi Simlote Villanueva's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since June 08, 2016PECOS Enrolled

95.21/100

CMS Quality Rating

5000 BRITTONFIELD PKWY STE A100, EAST SYRACUSE, NY 13057(315) 449-3800 Get Directions Write a Review

NPPES record last updated: July 15, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 15, 2024, Feb 25, 2022 (2 updates tracked since 2022).

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About Nidhi Simlote Villanueva Md, Mph NPPES

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

NIDHI SIMLOTE VILLANUEVA MD, MPH (NPI 1649629916) is an individual family medicine provider in East Syracuse, New York, licensed in New York (315089) and active in the NPI registry since June 2016. She is enrolled in Medicare PECOS, is affiliated with Crouse Hospital, and is a graduate of Other (2016).

NPPES Registry Identity

NPI1649629916

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameNIDHI SIMLOTE VILLANUEVACredential: MD, MPH

Location Address5000 BRITTONFIELD PKWY STE A100East Syracuse, NY 13057-9227

Mailing Address1001 W Fayette St Ste 400Syracuse, NY 13204-2866 · (315) 937-3433

Phone(315) 449-3800

Sole ProprietorNo

Medical School CMSOtherGraduated 2016

Enumeration DateJune 8, 2016

Last NPPES UpdateJuly 15, 20242 updates tracked since enumeration

NPPES CertifiedJuly 15, 2024

✔ NPI 1649629916 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in NY · 315089

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

5000 BRITTONFIELD PKWY STE A100, East Syracuse, NY 13057

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Other Names 1

Former Name (1)Nidhi Simlote Md

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nidhi Simlote Villanueva Md, Mph is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6709272867

PECOS Enrollment IDI20220330000910

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.

Medicare Billing Reassignments

Medicare enrollment records show Nidhi Simlote Villanueva reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Crouse Medical Practice, PLLC

5.9 mi

Internal Medicine

736 IRVING AVE
Syracuse, NY 13210

Reassigned Medicare billing, New York enrollment
159 clinicians in this Medicare group

NPI 1922321934 (315) 470-7375

Cayuga Medical Associates, PC

50 mi

Internal Medicine

101 DATES DR
Ithaca, NY 14850

Reassigned Medicare billing, New York enrollment
328 clinicians in this Medicare group

NPI 1679525455 (607) 274-4011

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

Areas of Expertise CMS Part B claims 6

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.

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.

126 services88 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.

55 services45 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

34 services34 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.

33 services29 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

12 services12 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

12 services12 patients

Hospital Affiliations CMS Care Compare

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

Crouse Hospital

Acute Care Hospitals · Syracuse, NY

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number330203

Location736 Irving AvenueSyracuse, NY 13210 · Onondaga County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 13057 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

$84.93 typical visit price

range $54.87 – $166.88

Typical copayment $21.23 (range $13.71 – $41.72)

Most-billed visit code 99203

Established Patient

$97.08 typical visit price

range $17.54 – $136.14

Typical copayment $24.27 (range $4.38 – $34.03)

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.

95.21/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

84.69

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 8

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

ANDREW SNIDER PA-C

Physician Assistant