GUSTAVO ADOLFO VILLALONA MD
NPI 1740447200
Surgery - Pediatric Surgery in Jacksonville, FL
About Gustavo Adolfo Villalona Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GUSTAVO ADOLFO VILLALONA MD (NPI 1740447200) is an individual pediatric surgery provider in Jacksonville, Florida, licensed in Florida (ME143331) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Gustavo Adolfo Villalona Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Gustavo Villalona reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Plover, WI 54467
- Reassigned Medicare billing, Wisconsin enrollment
- 2,476 clinicians in this Medicare group
Marshfield, WI 54449
- Reassigned Medicare billing, Wisconsin enrollment
- 2,540 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.
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.
JACKSONVILLE, FL 32207
JACKSONVILLE, FL 32207
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 Gustavo Villalona's NPI number?
The NPI number for Gustavo Villalona is 1740447200. It was assigned to this individual provider in the NPPES registry on May 21, 2008.
Where is Gustavo Villalona located?
Gustavo Villalona practices at 807 Childrens Way, Jacksonville, FL 32207. The listed phone number is (904) 697-3600.
What is Gustavo Villalona's specialty?
The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.
Is Gustavo Villalona enrolled in Medicare?
Yes. Gustavo Villalona is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Gustavo Villalona's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Gustavo Villalona reassigns Medicare benefits to 2 organizations: Mchs Hospitals, Inc. (Plover, WI) and Marshfield Clinic Inc (Marshfield, WI). 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 Gustavo Villalona's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Gustavo Villalona was last updated on November 13, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Gustavo Adolfo Villalona, MD · NPI 1740447200
Pediatric Surgery physician in Jacksonville, Florida. Individual provider, active in the CMS NPPES registry since May 21, 2008.
## Identity
- **NPI:** 1740447200 (Entity type: Individual)
- **Enumerated:** May 21, 2008
- **Primary specialty:** Surgery - Pediatric Surgery · taxonomy 2086S0120X
- **State license:** ME143331 (Florida)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 807 CHILDRENS WAY, Jacksonville, FL 32207-8426
- **Phone:** (904) 697-3600
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Mchs Hospitals, Inc. (NPI 1386249894, Plover, WI); Marshfield Clinic Inc (NPI 1952347981, Marshfield, WI) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** November 13, 2025
- **Other identifiers:** Other ME143331 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1740447200) · Data from the CMS NPPES public registry.