DR. LUIS E VILLAPLANA MD
NPI 1992766638
Internal Medicine in Salem, OH

Q: What is Luis Villaplana's NPI number?

The NPI number for Luis Villaplana is 1992766638. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Q: What is Luis Villaplana's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Luis Villaplana was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.

Active since March 31, 2006PECOS EnrolledAccepts Medicare Assignment

564 E 2ND ST, SALEM, OH 44460(234) 567-8150(234) 567-8189 Get Directions Write a Review

NPPES record last updated: April 7, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 7, 2026, Sep 26, 2024, Jun 22, 2023 and 4 more (7 updates tracked since 2017).

On this page

About Dr. Luis E Villaplana Md NPPES

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

DR. LUIS E VILLAPLANA MD (NPI 1992766638) is an individual internal medicine provider in Salem, Ohio, licensed in Ohio (35.057236) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with St Elizabeth Youngstown Hospital, and is a graduate of Ponce School Of Medicine (1986).

NPPES Registry Identity

NPI1992766638

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. LUIS E VILLAPLANACredential: MD

Location Address564 E 2ND STSalem, OH 44460-2914

Mailing Address564 E 2nd StSalem, OH 44460-2914 · (234) 567-8150 · Fax (234) 567-8189

Phone(234) 567-8150

Fax(234) 567-8189

Sole ProprietorNo

Medical School CMSPonce School Of MedicineGraduated 1986

Enumeration DateMarch 31, 2006

Last NPPES UpdateApril 7, 20267 updates tracked since enumeration

NPPES CertifiedApril 7, 2026

✔ NPI 1992766638 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in OH · 35.057236

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

564 E 2ND ST, Salem, OH 44460

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Other Identifiers 1

Medicaid0724836OH

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual, Molina Healthcare.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

Dr. Luis E Villaplana 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 ID6406760321

PECOS Enrollment IDI20031114000654

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 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.

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.

51 services18 patients

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.

18 services11 patients

Hospital Affiliations CMS Care Compare 2

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

St Elizabeth Youngstown Hospital

Acute Care Hospitals · Youngstown, OH

2/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number360064

Location1044 Belmont AvenueYoungstown, OH 44501 · Mahoning County

Emergency services

Surgical Hospital At Southwoods

Acute Care Hospitals · Youngstown, OH

5/5 CMS rating

OwnershipProprietary

CMS Certification Number360352

Location7630 Southern BlvdYoungstown, OH 44512 · Mahoning County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44460 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

$126.12 typical visit price

range $54.34 – $166.65

Typical copayment $31.53 (range $13.58 – $41.66)

Most-billed visit code 99204

Established Patient

$96.44 typical visit price

range $17.10 – $135.40

Typical copayment $24.11 (range $4.27 – $33.85)

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 9

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

CHRISTA KEMPINSKI APRN

Nurse Practitioner (Family)

564 E 2ND ST
SALEM, OH 44460

Columbiana County (234) 567-8150

SVETLANA MOTORIKINA DPM

Podiatrist (Foot & Ankle Surgery)

564 E 2ND ST
SALEM, OH 44460

Columbiana County (234) 567-8150

DR. JOCELYN FLORENDO SHIMEK D.O.

Internal Medicine

564 E 2ND ST
SALEM, OH 44460

Columbiana County (234) 567-8150

SUSAN AEY MD

Internal Medicine

564 E 2ND ST
SALEM, OH 44460

Columbiana County (330) 332-5232

MELISSA J. HOPKINS P.A

Physician Assistant

564 E 2ND ST
SALEM, OH 44460

Columbiana County (345) 678-1502

MERCY HEALTH PHYSICIANS YOUNGSTOWN SPECIALTY CARE LLC

Durable Medical Equipment & Medical Supplies (Customized Equipment)

564 E 2ND ST
SALEM, OH 44460

Columbiana County (234) 567-8150

MERCY HEALTH PHYSICIANS YOUNGSTOWN LLC

Durable Medical Equipment & Medical Supplies

564 E 2ND ST
SALEM, OH 44460

Columbiana County (234) 567-8150

DR. RICHARD MARK SHIVERS MD

Family Medicine

564 E 2ND ST
SALEM, OH 44460

Columbiana County (234) 567-8150

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 Villaplana's NPI number?

The NPI number for Luis Villaplana is 1992766638. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Luis Villaplana located?

Luis Villaplana practices at 564 E 2nd St, Salem, OH 44460. The listed phone number is (234) 567-8150.

What is Luis Villaplana's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Luis Villaplana enrolled in Medicare?

Yes. Luis Villaplana 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 Villaplana accept?

Health plans from CareSource, MedMutual and Molina Healthcare list Luis Villaplana 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 Villaplana affiliated with any hospitals?

According to CMS data, Luis Villaplana is affiliated with St Elizabeth Youngstown Hospital and Surgical Hospital At Southwoods.

When was this NPI record last updated?

The NPPES record for Luis Villaplana was last updated on April 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.