DR. ANDREW RAUL VILLANUEVA MD
NPI 1912351032
Dermatology in Virginia Beach, VA
About Dr. Andrew Raul Villanueva Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. ANDREW RAUL VILLANUEVA MD (NPI 1912351032) is an individual dermatology provider in Virginia Beach, Virginia, licensed in Virginia (0101268875) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of Howard University College Of Medicine (2016).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
Accepted Insurance
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
Dr. Andrew Raul Villanueva 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.
Medicare Billing Reassignment
Medicare enrollment records show Andrew Villanueva reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Virginia Beach, VA 23452
- Reassigned Medicare billing, Virginia and North Carolina enrollments
- Medicare enrollment name: Forefront Dermatology Sc
- Also billed through NPI 1326532169 (North Carolina)
- 26 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 35
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23454 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VIRGINIA BEACH, VA 23454
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 Andrew Villanueva's NPI number?
The NPI number for Andrew Villanueva is 1912351032. It was assigned to this individual provider in the NPPES registry on April 14, 2016.
Where is Andrew Villanueva located?
Andrew Villanueva practices at 1157 First Colonial Rd Ste 300, Virginia Beach, VA 23454. The listed phone number is (757) 333-8001.
What is Andrew Villanueva's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Andrew Villanueva enrolled in Medicare?
Yes. Andrew Villanueva 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 organization bills Medicare for Andrew Villanueva's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Villanueva reassigns Medicare benefits to Forefront Dermatology, S.C. (Virginia Beach, VA). 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 Andrew Villanueva's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Andrew Villanueva accept?
Health plans from UnitedHealthcare list Andrew Villanueva 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 Andrew Villanueva was last updated on November 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.