TOMAS VILLANUEVA DO
NPI 1669565453
Internal Medicine in Miami, FL

Q: What is Tomas Villanueva's NPI number?

The NPI number for Tomas Villanueva is 1669565453. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Q: What is Tomas Villanueva's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Tomas Villanueva was last updated on May 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since October 02, 2006PECOS EnrolledAccepts Medicare Assignment

99.93/100

CMS Quality Rating

8900 N KENDALL DR, SOUTH TOWER 2ND FLOOR, MIAMI, FL 33176(786) 596-7774(786) 596-7998 Get Directions Write a Review

NPPES record last updated: May 31, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Tomas Villanueva Do NPPES

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

TOMAS VILLANUEVA DO (NPI 1669565453) is an individual internal medicine provider in Miami, Florida, licensed in Florida (OS0006373) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1991).

NPPES Registry Identity

NPI1669565453

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameTOMAS VILLANUEVACredential: DO

Location Address8900 N KENDALL DR, SOUTH TOWER 2ND FLOORMiami, FL 33176-2118

Mailing Address8900 N Kendall Dr, South Tower 2nd FloorMiami, FL 33176-2118 · (786) 596-7774 · Fax (786) 596-7998

Phone(786) 596-7774

Fax(786) 596-7998

Sole ProprietorNo

Medical School CMSOtherGraduated 1991

Enumeration DateOctober 2, 2006

Last NPPES UpdateMay 31, 2022

NPPES CertifiedMay 31, 2022

✔ NPI 1669565453 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · OS0006373

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

8900 N KENDALL DR, Miami, FL 33176

Open in Google Maps ↗

Other Identifiers 1

Other80988FL · Bcbs

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida.Insurance ›

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

Tomas Villanueva Do 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 ID5193638450

PECOS Enrollment IDI20070915000227

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33176 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

99.93/100

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

Scored through an Alternative Payment Model

Quality

84.3

Promoting Interoperability

100

Improvement Activities

Other Providers at the Same Location NPPES 20

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

DR. GLADYS LINDA GIRON M.D.

Surgery (Surgical Oncology)