KENNETH ARMAMENTO VILLAREAL – Internal Medicine Physician, NPI 1366905093
Internal Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
235 INFECTIOUS DISEASE in MO
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Provider Addresses for KENNETH ARMAMENTO VILLAREAL
Nall Avenue, Leawood, Johnson County, Kansas, 66211-1508, United States
LEAWOOD, KS 662092503
Phone:
Type: Mailing
Lee's Summit Medical Center, 2100, Southeast Blue Parkway, Lee's Summit, Jackson County, Missouri, 64063, United States
LEES SUMMIT, MO 640631007
Phone: (816) 282-5000
Type: Location
6701 TENNYSON ST NE APT 10202
ALBUQUERQUE, NM 871221166
Phone: (314) 412-0695
Type: Mailing
1 UNIVERSITY OF NEW MEXICO # 105550
ALBUQUERQUE, NM 871311007
Phone: (314) 412-0695
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2024-10-04
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 |
|---|---|---|---|---|
| I20241004001531 | I | Infectious Disease | NM | 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 66209)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | NM | |
| Diagnostic Radiology | NM | |
| - | NM | |
| - | NM | |
| - | NM | |
| - | NM | |
| Critical Care (Intensivists), Hospitalist, Internal Medicine | MD | |
| D E R M A T O L O G Y | NM | |
| Urology, General Surgery | NM | |
| - | NM |
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