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JEFFREY VILLANUEVA MD
NPI 1962745133
Urology - Pediatric Urology in Syracuse, NY

Active since April 05, 2013PECOS EnrolledAccepts Medicare Assignment
86.08/100
CMS Quality Rating
725 IRVIG AVE, SUITE 403, SYRACUSE, NY 13210(315) 464-6060(315) 464-2879 Get Directions Write a Review

NPPES record last updated: July 20, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 20, 2020, May 14, 2019, Jan 22, 2019 (3 updates tracked since 2019).

About Jeffrey Villanueva Md NPPES

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

JEFFREY VILLANUEVA MD (NPI 1962745133) is an individual pediatric urology provider in Syracuse, New York, licensed in New York (302506) and active in the NPI registry since April 2013. He is enrolled in Medicare PECOS, is affiliated with University Hospital S U N Y Health Science Center, and is a graduate of University Of Massachusetts Medical School (2013).

NPPES Registry Identity

NPI1962745133
Entity TypeIndividualMale
Primary Taxonomy2088P0231X
Provider Legal NameJEFFREY VILLANUEVACredential: MD
Location Address725 IRVIG AVE, SUITE 403Syracuse, NY 13210-2306
Mailing Address725 Irving Ave Ste 403Syracuse, NY 13210-1684 · (315) 464-6060 · Fax (315) 464-2879
Phone(315) 464-6060
Fax(315) 464-2879
Sole ProprietorNo
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 2013
Enumeration DateApril 5, 2013
Last NPPES UpdateJuly 20, 20203 updates tracked since enumeration
NPPES CertifiedJuly 20, 2020
✔ NPI 1962745133 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
Licenses✔ Licensed in NY · 302506✔ Licensed in PA · MD467016
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Also ListedUrologyTaxonomy 208800000X · License MD467016 (PA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License MT215493 (PA)
725 IRVIG AVE, Syracuse, NY 13210
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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

Jeffrey 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.

PECOS PAC ID1153655493
PECOS Enrollment IDI20200706002967
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.

Hospital Affiliations CMS Care Compare

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

University Hospital S U N Y Health Science Center

Acute Care Hospitals · Syracuse, NY
3/5 CMS rating
OwnershipGovernment - State
CMS Certification Number330241
Location750 East Adams StreetSyracuse, NY 13210 · Onondaga County
Emergency services Birthing friendly

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.

86.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality99.25
Promoting Interoperability100
Improvement Activities40
Cost46.35

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 Jeffrey Villanueva's NPI number?

The NPI number for Jeffrey Villanueva is 1962745133. It was assigned to this individual provider in the NPPES registry on April 5, 2013.

Where is Jeffrey Villanueva located?

Jeffrey Villanueva practices at 725 Irvig Ave Suite 403, Syracuse, NY 13210. The listed phone number is (315) 464-6060.

What is Jeffrey Villanueva's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Jeffrey Villanueva enrolled in Medicare?

Yes. Jeffrey 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.

Is Jeffrey Villanueva affiliated with any hospitals?

According to CMS data, Jeffrey Villanueva is affiliated with University Hospital S U N Y Health Science Center.

When was this NPI record last updated?

The NPPES record for Jeffrey Villanueva was last updated on July 20, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.