JIMVER VILLADOZ DO
NPI 1689305526
General Practice in Las Vegas, NV

Active since June 21, 2022PECOS EnrolledAccepts Medicare Assignment
700 SHADOW LN STE 400, LAS VEGAS, NV 89106(702) 477-6571 Get Directions Write a Review

NPPES record last updated: March 4, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 4, 2025, Oct 11, 2024 (2 updates tracked since 2024).

About Jimver Villadoz Do NPPES

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

JIMVER VILLADOZ DO (NPI 1689305526) is an individual general practice provider in Las Vegas, Nevada, licensed in Nevada (DO3773) and active in the NPI registry since June 2022. He is enrolled in Medicare PECOS, is affiliated with Valley Hospital Medical Center, and is a graduate of Other (2022).

NPPES Registry Identity

NPI1689305526
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameJIMVER VILLADOZCredential: DO
Location Address700 SHADOW LN STE 400Las Vegas, NV 89106-4159
Mailing Address5960 Balsam Pine DrLas Vegas, NV 89142-1671 · (702) 336-7968
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJune 21, 2022
Last NPPES UpdateMarch 4, 20252 updates tracked since enumeration
NPPES CertifiedMarch 4, 2025
✔ NPI 1689305526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in NV · DO3773
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedFamily MedicineTaxonomy 207Q00000X · License DO3773 (NV)
700 SHADOW LN STE 400, Las Vegas, NV 89106

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jimver Villadoz 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 ID5799165460
PECOS Enrollment IDI20241029001391
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

3

Medicare enrollment records show Jimver Villadoz reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Surgery
5597 SPRING MOUNTAIN RD
Las Vegas, NV 89146
  • Reassigned Medicare billing, Nevada enrollment
  • 13 clinicians in this Medicare group
Surgery
3750 S JONES BLVD STE 120
Las Vegas, NV 89103
  • Reassigned Medicare billing, Nevada enrollment
  • 16 clinicians in this Medicare group
Primary Care
5380 S RAINBOW BLVD STE 320
Las Vegas, NV 89118
  • Reassigned Medicare billing, Nevada enrollment
  • 15 clinicians in this Medicare group

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

Hospital Affiliations CMS Care Compare 3

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

Valley Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV
2/5 CMS rating
OwnershipProprietary
CMS Certification Number290021
Location620 Shadow LaneLas Vegas, NV 89106 · Clark County
Emergency services

Centennial Hills Hospital Medical Center

Acute Care Hospitals · Las Vegas, NV
1/5 CMS rating
OwnershipProprietary
CMS Certification Number290054
Location6900 N Durango DrLas Vegas, NV 89149 · Clark County
Emergency services Birthing friendly

Henderson Hospital

Acute Care Hospitals · Henderson, NV
3/5 CMS rating
OwnershipProprietary
CMS Certification Number290057
Location1050 West Galleria DriveHenderson, NV 89011 · Clark County
Emergency services Birthing friendly

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.

Student in an Organized Health Care Education/Training Program
700 SHADOW LN STE 400
LAS VEGAS, NV 89106
Student in an Organized Health Care Education/Training Program
700 SHADOW LN STE 400
LAS VEGAS, NV 89106
Family Medicine
700 SHADOW LN STE 400
LAS VEGAS, NV 89106
Internal Medicine
700 SHADOW LN STE 400
LAS VEGAS, NV 89106
Internal Medicine (Pulmonary Disease)
700 SHADOW LN STE 400
LAS VEGAS, NV 89106
Ophthalmology
700 SHADOW LN STE 400
LAS VEGAS, NV 89106
Internal Medicine
700 SHADOW LN STE 400
LAS VEGAS, NV 89106
Internal Medicine (Gastroenterology)
700 SHADOW LN STE 400
LAS VEGAS, NV 89106

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 Jimver Villadoz's NPI number?

The NPI number for Jimver Villadoz is 1689305526. It was assigned to this individual provider in the NPPES registry on June 21, 2022.

Where is Jimver Villadoz located?

Jimver Villadoz practices at 700 Shadow Ln Ste 400, Las Vegas, NV 89106. The listed phone number is (702) 477-6571.

What is Jimver Villadoz's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Jimver Villadoz enrolled in Medicare?

Yes. Jimver Villadoz 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.

Which organizations bill Medicare for Jimver Villadoz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jimver Villadoz reassigns Medicare benefits to 3 organizations: Professional Wound Specialists LLC (Las Vegas, NV), Ming-Wei Wu, Inc (Las Vegas, NV) and Julie Wu, Inc (Las Vegas, NV). Each 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 Jimver Villadoz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jimver Villadoz accept?

Health plans from Ambetter Health and Ambetter from Arizona Complete Health list Jimver Villadoz as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Jimver Villadoz affiliated with any hospitals?

According to CMS data, Jimver Villadoz is affiliated with Valley Hospital Medical Center, Centennial Hills Hospital Medical Center and Henderson Hospital.

When was this NPI record last updated?

The NPPES record for Jimver Villadoz was last updated on March 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.