BENJAMIN FRANK VILLARREAL M.D.
NPI 1841722774
Hospitalist in Troy, NY

Active since March 30, 2017PECOS EnrolledAccepts Medicare Assignment
2215 BURDETT AVE, TROY, NY 12180(518) 271-3300 Get Directions Write a Review

NPPES record last updated: May 27, 2021. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 27, 2021, Jul 6, 2020, May 4, 2020 and 1 more (4 updates tracked since 2017).

About Benjamin Frank Villarreal M.d. NPPES

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

BENJAMIN FRANK VILLARREAL M.D. (NPI 1841722774) is an individual hospitalist provider in Troy, New York, licensed in New York (296882) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS, is affiliated with St Peter's Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1841722774
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameBENJAMIN FRANK VILLARREALCredential: M.D.
Location Address2215 BURDETT AVETroy, NY 12180-2466
Mailing AddressPo Box 14890Albany, NY 12212-4890 · (518) 525-5634 · Fax (518) 649-4094
Sole ProprietorNo
Medical School CMSUniversity Of Texas Medical Branch At GalvestonGraduated 2017
Enumeration DateMarch 30, 2017
Last NPPES UpdateMay 27, 20214 updates tracked since enumeration
NPPES CertifiedMay 27, 2021
✔ NPI 1841722774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in NY · 296882
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.
2215 BURDETT AVE, Troy, NY 12180

Secondary Practice Locations 2

Location 1600 Northern BlvdAlbany, NY 12204-1004 · Phone (518) 471-3221
Location 2315 S Manning BlvdAlbany, NY 12208-1707 · Phone (518) 525-1550

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

Benjamin Frank Villarreal M.d. 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 ID840535050
PECOS Enrollment IDI20200608000224
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

2

Medicare enrollment records show Benjamin Villarreal reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

General Acute Care Hospital
2215 BURDETT AVE
Troy, NY 12180
  • Reassigned Medicare billing, New York enrollment
  • 725 clinicians in this Medicare group
Internal Medicine
53 COLUMBIA STREET
Rensselaer, NY 12144
  • Reassigned Medicare billing, New York enrollment
  • Medicare enrollment name: St Peters Hospital Of The City Of Albany
  • 623 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.

Areas of Expertise CMS Part B claims 2

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.

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.
108 services107 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
40 services40 patients

Hospital Affiliations CMS Care Compare 3

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

St Peter's Hospital

Acute Care Hospitals · Albany, NY
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330057
Location315 South Manning BoulevardAlbany, NY 12208 · Albany County
Emergency services Birthing friendly

Ellis Hospital

Acute Care Hospitals · Schenectady, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330153
Location1101 Nott StreetSchenectady, NY 12308 · Schenectady County
Emergency services Birthing friendly

Samaritan Hospital Of Troy, New York

Acute Care Hospitals · Troy, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330180
Location2215 Burdett AvenueTroy, NY 12180 · Rensselaer County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 12180 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
$126.40 typical visit price
range $54.87 – $166.88
Typical copayment $31.60 (range $13.71 – $41.72)
Most-billed visit code 99204
Established Patient
$97.08 typical visit price
range $17.54 – $136.14
Typical copayment $24.27 (range $4.38 – $34.03)
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.

Dietitian, Registered
2215 BURDETT AVE, SAMARITAN HOSPITAL - NUTRITION SERVICES
TROY, NY 12180
Internal Medicine
2215 BURDETT AVE
TROY, NY 12180
Physician Assistant
2215 BURDETT AVE
TROY, NY 12180
Nurse Practitioner (Psychiatric/Mental Health)
2215 BURDETT AVE
TROY, NY 12180
Physician Assistant
2215 BURDETT AVE
TROY, NY 12180
Psychologist
2215 BURDETT AVE, BEHAVIORAL HEALTH DEPT
TROY, NY 12180
General Acute Care Hospital
2215 BURDETT AVE, SUITE 200
TROY, NY 12180
Social Worker (Clinical)
2215 BURDETT AVE
TROY, NY 12180

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 Benjamin Villarreal's NPI number?

The NPI number for Benjamin Villarreal is 1841722774. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Benjamin Villarreal located?

Benjamin Villarreal practices at 2215 Burdett Ave, Troy, NY 12180. The listed phone number is (518) 271-3300.

What is Benjamin Villarreal's specialty?

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

Is Benjamin Villarreal enrolled in Medicare?

Yes. Benjamin Villarreal 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 Benjamin Villarreal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Benjamin Villarreal reassigns Medicare benefits to 2 organizations: Samaritan Hospital Of Troy, New York (Troy, NY) and St. Peter's Hospital Of The City Of Albany (Rensselaer, NY). 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 Benjamin Villarreal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Benjamin Villarreal affiliated with any hospitals?

According to CMS data, Benjamin Villarreal is affiliated with St Peter's Hospital, Ellis Hospital and Samaritan Hospital Of Troy, New York.

When was this NPI record last updated?

The NPPES record for Benjamin Villarreal was last updated on May 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.