CARLOS DANIEL VILLALPANDO (PA-C) – Physician Assistant, NPI 1104485184
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
3,685 PHYSICIAN ASSISTANT in AZ
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Provider Addresses for CARLOS DANIEL VILLALPANDO (PA-C)
230, South 3rd Street, Phoenix, Maricopa County, Arizona, 85004, United States
PHOENIX, AZ 850042697
Phone: (602) 553-3113
Type: Mailing
230 S 3rd St
Phoenix, AZ 850042697
Phone: (602) 553-3113
Type: Location
18444 N 25TH AVE STE 310
PHOENIX, AZ 850231266
Phone: (866) 974-2673
Fax: (866) 939-2673
Type: Mailing
14520 W GRANITE VALLEY DR STE 210
SUN CITY WEST, AZ 853755855
Phone: (866) 974-2673
Fax: (866) 939-2673
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $192.
Total Amount is formed as General ($192) + Research ($0) + Ownership ($0) = $192.
Last reported payment date: 2024-12-09 • Largest payer in this snapshot: Stryker Corporation ($159).
Total Amount
$192
General + Research + Ownership
Payments
2
Total payment records
General Amount
$192
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $159 |
| Onkos Surgical, Inc. | $33 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-06-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240605003339 | I | Physician Assistant | AZ | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 85004)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | AZ | |
| Physical Therapist In Private Practice | AZ | |
| - | MN | |
| Physical Therapist In Private Practice | AZ | |
| - | AZ | |
| N E U R O S U R G E R Y | AZ | |
| Physical Therapist In Private Practice | AZ | |
| - | AZ | |
| Orthopedic Surgery | VA | |
| Orthopedic Surgery | MI |
Reviews
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