RAPHAEL VILLAVICENCIO MD
NPI 1780643627
Hospitalist in Indianapolis, IN

Active since March 20, 2006PECOS Enrolled
1481 W 10TH ST, MEDICINE SERVICE, 111, INDIANAPOLIS, IN 46202(317) 554-0000 Get Directions Write a Review

NPPES record last updated: December 3, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Raphael Villavicencio Md NPPES

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

RAPHAEL VILLAVICENCIO MD (NPI 1780643627) is an individual hospitalist provider in Indianapolis, Indiana, licensed in Indiana (01051969A) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1780643627
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameRAPHAEL VILLAVICENCIOCredential: MD
Location Address1481 W 10TH ST, MEDICINE SERVICE, 111Indianapolis, IN 46202-2803
Mailing Address1481 W 10th St, Medicine Service, 111Indianapolis, IN 46202-2803 · (317) 554-0000
Sole ProprietorNo
Enumeration DateMarch 20, 2006
Last NPPES UpdateDecember 3, 2010
✔ NPI 1780643627 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IN · 01051969A
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
1481 W 10TH ST, Indianapolis, IN 46202

Other Identifiers 7

Other9397565IN · Phcs Pid Number
Medicare PIN815500G8IN
Other000000351160IN · Anthem Provider Number
Medicare UPINH24565IN
Medicare PIN815469VVVIN
Medicaid200300450IN
Medicare PINP00162690IN

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Raphael Villavicencio Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Reassignment

Medicare enrollment records show Raphael Villavicencio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urgent Care
5080 SPECTRUM DRIVE, SUITE 1200 WEST
Addison, TX 75001
  • Reassigned Medicare billing, Indiana enrollment
  • 50 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46202 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
$122.49 typical visit price
range $53.07 – $161.76
Typical copayment $30.62 (range $13.26 – $40.44)
Most-billed visit code 99204
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
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.

Internal Medicine (Cardiovascular Disease)
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Audiologist
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Dietitian, Registered
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Social Worker (Clinical)
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Recreation Therapist
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Registered Nurse
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Nurse Practitioner (Family)
1481 W 10TH ST
INDIANAPOLIS, IN 46202
Registered Nurse (Ambulatory Care)
1481 W 10TH ST
INDIANAPOLIS, IN 46202

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 Raphael Villavicencio's NPI number?

The NPI number for Raphael Villavicencio is 1780643627. It was assigned to this individual provider in the NPPES registry on March 20, 2006.

Where is Raphael Villavicencio located?

Raphael Villavicencio practices at 1481 W 10th St Medicine Service, 111, Indianapolis, IN 46202. The listed phone number is (317) 554-0000.

What is Raphael Villavicencio's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Raphael Villavicencio enrolled in Medicare?

Yes. Raphael Villavicencio is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Raphael Villavicencio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raphael Villavicencio reassigns Medicare benefits to American Current Care PA (Addison, TX). The 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 Raphael Villavicencio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raphael Villavicencio accept?

Health plans from CareSource list Raphael Villavicencio 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.

When was this NPI record last updated?

The NPPES record for Raphael Villavicencio was last updated on December 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.