DR. PEDRO RAUL VILLANUEVA M.D.
NPI 1851459606
Pediatrics in Arcadia, FL

Q: What is Pedro Villanueva's NPI number?

The NPI number for Pedro Villanueva is 1851459606. It was assigned to this individual provider in the NPPES registry on December 5, 2006.

Q: What is Pedro Villanueva's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Pedro Villanueva was last updated on March 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 05, 2006

888 N ROBERT AVE, ARCADIA, FL 34266(863) 494-8410(863) 491-5306 Get Directions Write a Review

NPPES record last updated: March 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 7, 2023, Mar 24, 2017, Jul 1, 2016 (3 updates tracked since 2016).

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About Dr. Pedro Raul Villanueva M.d. NPPES

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

DR. PEDRO RAUL VILLANUEVA M.D. (NPI 1851459606) is an individual pediatrics provider in Arcadia, Florida, licensed in Florida (ME50602) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1851459606

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. PEDRO RAUL VILLANUEVACredential: M.D.

Location Address888 N ROBERT AVEArcadia, FL 34266-9580

Mailing Address700 8th Ave W, Ste 101Palmetto, FL 34221-4737 · (941) 776-4008 · Fax (941) 845-4963

Phone(863) 494-8410

Fax(863) 491-5306

Sole ProprietorYes

Enumeration DateDecember 5, 2006

Last NPPES UpdateMarch 7, 20233 updates tracked since enumeration

✔ NPI 1851459606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in FL · ME50602

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

888 N ROBERT AVE, Arcadia, FL 34266

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Other Identifiers 1

Medicaid046388400FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama and more.Insurance ›

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

Reported Quality Measures

Closing the Referral Loop: Receipt of Specialist Report

Percentage of patients with referrals, regardless of age, for which the referring provider receives a report from the provider to whom the patient was referred

62%400 patients3/55-star benchmark: 95%

e-Prescribing

At least one permissible prescription written by the MIPS eligible clinician is queried for a drug formulary and transmitted electronically using certified EHR technology.

99%2,948 patients5/55-star benchmark: 99%

Health Information Exchange

The MIPS eligible clinician that transitions or refers their patient to another setting of care or health care clinician (1) uses CEHRT to create a summary of care record; and (2) electronically transmits such summary to a receiving health care clinician for…

12%488 patients1/55-star benchmark: 88%

Medication Reconciliation

The MIPS eligible clinician performs medication reconciliation for at least one transition of care in which the patient is transitioned into the care of the MIPS eligible clinician.

100%409 patients5/55-star benchmark: 100%

Patient-Specific Education

The MIPS eligible clinician must use clinically relevant information from CEHRT to identify patient-specific educational resources and provide access to those materials to at least one unique patient seen by the MIPS eligible clinician.

91%2,865 patients4/55-star benchmark: 97%

Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan

Percentage of patients aged 18 years and older with a BMI documented during the current encounter or during the previous twelve months AND with a BMI outside of normal parameters, a follow-up plan is documented during the encounter or during the previous…

59%22 patients3/55-star benchmark: 97%

Preventive Care and Screening: Screening for Depression and Follow-Up Plan

Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen

94%652 patients4/55-star benchmark: 96%

Provide Patient Access

At least one patient seen by the MIPS eligible clinician during the performance period is provided timely access to view online, download, and transmit to a third party their health information subject to the MIPS eligible clinician's discretion to withhold…

100%2,865 patients5/55-star benchmark: 100%

Secure Messaging

For at least one unique patient seen by the MIPS eligible clinician during the performance period, a secure message was sent using the electronic messaging function of CEHRT to the patient (or the patient-authorized representative), or in response to a secure…

8%2,865 patients1/55-star benchmark: 89%

View, Download, or Transmit (VDT)

At least one patient seen by the MIPS eligible clinician during the performance period (or patient-authorized representative) views, downloads or transmits their health information to a third party during the performance period.

13%2,865 patients

Weight Assessment and Counseling for Nutrition and Physical Activity for Children and Adolescents

Percentage of patients 3-17 years of age who had an outpatient visit with a Primary Care Physician (PCP) or Obstetrician/Gynecologist (OB/GYN) and who had evidence of the following during the measurement period. Three rates are reported.

Patients nutrition: 71% · 2,164 patients

Patients physicalActivity: 66% · 2,164 patients

100%2,163 patients

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

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