RONALD DELA VILLAREAL MD
NPI 1689859266
Internal Medicine - Nephrology in Manhasset, NY

Active since January 02, 2008PECOS EnrolledAccepts Medicare Assignment
1129 NORTHERN BLVD, 101, MANHASSET, NY 11030(516) 365-5570(516) 365-5532 Get Directions Write a Review

NPPES record last updated: July 7, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ronald Dela Villareal Md NPPES

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

RONALD DELA VILLAREAL MD (NPI 1689859266) is an individual nephrology provider in Manhasset, New York, licensed in New York (263968) and active in the NPI registry since January 2008. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1689859266
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameRONALD DELA VILLAREALCredential: MD
Location Address1129 NORTHERN BLVD, 101Manhasset, NY 11030-3045
Mailing Address1129 Northern Blvd, Ste. 101Manhasset, NY 11030-3045 · (516) 365-5570 · Fax (516) 365-5532
Fax(516) 365-5532
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJanuary 2, 2008
Last NPPES UpdateJuly 7, 2014
NPI 1689859266 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses Licensed in NY · 263968 Licensed in IN · 99052287A
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedInternal MedicineTaxonomy 207R00000X · License 01071586 (IN)
1129 NORTHERN BLVD, Manhasset, NY 11030

Other Identifiers 3

Medicaid2010864902IN
Medicare PINA400102148NY
Medicare PINM400072957IN

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

Ronald Dela Villareal Md 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 ID8325235799
PECOS Enrollment IDI20140527000137
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.

Areas of Expertise CMS Part B claims 7

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
343 services76 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
138 services26 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
95 services18 patients
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.
51 services33 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
49 services22 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
35 services34 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11030 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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.

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.

Optometrist
1129 NORTHERN BLVD, SUITE 100
MANHASSET, NY 11030
Chiropractor
1129 NORTHERN BLVD, SUITE 404
MANHASSET, NY 11030
Allergy & Immunology (Allergy)
1129 NORTHERN BLVD
MANHASSET, NY 11030
Physician Assistant (Medical)
1129 NORTHERN BLVD, SUITE 101
MANHASSET, NY 11030
Internal Medicine (Nephrology)
1129 NORTHERN BLVD, SUITE 101
MANHASSET, NY 11030
Anesthesiology
1129 NORTHERN BLVD
MANHASSET, NY 11030
Optometrist
1129 NORTHERN BLVD, SUITE 100
MANHASSET, NY 11030
Anesthesiology
1129 NORTHERN BLVD, SUITE 409
MANHASSET, NY 11030

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 Ronald Villareal's NPI number?

The NPI number for Ronald Villareal is 1689859266. It was assigned to this individual provider in the NPPES registry on January 2, 2008.

Where is Ronald Villareal located?

Ronald Villareal practices at 1129 Northern Blvd 101, Manhasset, NY 11030. The listed phone number is (516) 365-5570.

What is Ronald Villareal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Ronald Villareal enrolled in Medicare?

Yes. Ronald Villareal 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.

Is Ronald Villareal affiliated with any hospitals?

According to CMS data, Ronald Villareal is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Ronald Villareal was last updated on July 7, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.