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LUIS VILLA M.D.
NPI 1932197233
Internal Medicine - Hematology & Oncology in Miami, FL

Active since October 11, 2005PECOS EnrolledAccepts Medicare Assignment
81.31/100
CMS Quality Rating
3659 S MIAMI AVE, STE. 2007, MIAMI, FL 33133(305) 854-8080(305) 854-2450 Get Directions Write a Review

NPPES record last updated: March 23, 2011. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Luis Villa M.d. NPPES

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

LUIS VILLA M.D. (NPI 1932197233) is an individual hematology & oncology provider in Miami, Florida, licensed in Florida (ME0018634) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Harvard Medical School (1970).

NPPES Registry Identity

NPI1932197233
Entity TypeIndividualMale
Primary Taxonomy207RH0003X
Provider Legal NameLUIS VILLACredential: M.D.
Location Address3659 S MIAMI AVE, STE. 2007Miami, FL 33133-4227
Mailing Address3659 S Miami Ave, Ste. 2007Miami, FL 33133-4227 · (305) 854-8080 · Fax (305) 854-2450
Phone(305) 854-8080
Fax(305) 854-2450
Sole ProprietorNo
Medical School CMSHarvard Medical SchoolGraduated 1970
Enumeration DateOctober 11, 2005
Last NPPES UpdateMarch 23, 2011
✔ NPI 1932197233 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians
Taxonomy Code207RH0003X
License✔ Licensed in FL · ME0018634
Definition
An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.
3659 S MIAMI AVE, Miami, FL 33133
Open in Google Maps ↗

Other Identifiers 2

Medicare UPIND58717
Medicaid037107600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Luis Villa 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 ID4385610344
PECOS Enrollment IDI20050705000522
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.

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
220 services148 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
114 services78 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
43 services30 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
34 services19 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
17 services17 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
14 services12 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number100022
Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33133 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
$187.05 typical visit price
range $60.92 – $187.05
Typical copayment $46.76 (range $15.23 – $46.76)
Most-billed visit code 99205
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

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.

81.31/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality78.45
Promoting Interoperability100
Improvement Activities40
Cost50.59

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.

MADAI MARTINEZ
Nurse Practitioner (Acute Care)
3659 S MIAMI AVE
MIAMI, FL 33133
Miami-Dade County (786) 804-5585
DR. MYRON MAYER PERSOFF MD
Plastic Surgery
3659 S MIAMI AVE, SUITE 4006
MIAMI, FL 33133
Miami-Dade County (305) 858-5255
EDUARDO M MARTINEZ, MD, PA
Surgery (Vascular Surgery)
3659 S MIAMI AVE, SUITE 4006
MIAMI, FL 33133
Miami-Dade County (786) 483-8438
GALIMIDI DPM PA
Podiatrist (Foot & Ankle Surgery)
3659 S MIAMI AVE, 3008
MIAMI, FL 33133
Miami-Dade County (305) 859-7777
DR. RAUL MOAS M.D.
Internal Medicine (Pulmonary Disease)
3659 S MIAMI AVE, SUITE 5004
MIAMI, FL 33133
Miami-Dade County (305) 854-0616
JAMES M LOSITO DPM
Podiatrist (Sports Medicine)
3659 S MIAMI AVE
MIAMI, FL 33133
Miami-Dade County (305) 859-7777
MARITZA MIREYA CARDENA ALENCAR NP
Nurse Practitioner (Adult Health)
3659 S MIAMI AVE, STE 2001
MIAMI, FL 33133
Miami-Dade County (305) 854-8800
MIGUEL ARCANGEL ALBERT MD
Obstetrics & Gynecology
3659 S MIAMI AVE, #6001
MIAMI, FL 33133
Miami-Dade County (305) 856-2828

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 Luis Villa's NPI number?

The NPI number for Luis Villa is 1932197233. It was assigned to this individual provider in the NPPES registry on October 11, 2005.

Where is Luis Villa located?

Luis Villa practices at 3659 S Miami Ave Ste. 2007, Miami, FL 33133. The listed phone number is (305) 854-8080.

What is Luis Villa's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Luis Villa enrolled in Medicare?

Yes. Luis Villa 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.

What insurance does Luis Villa accept?

Health plans from AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and UnitedHealthcare list Luis Villa 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.

Is Luis Villa affiliated with any hospitals?

According to CMS data, Luis Villa is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Luis Villa was last updated on March 23, 2011. 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.