MIRKO VILLANUEVA (MD) – Internal Medicine Physician, NPI 1174589501
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
681 CRITICAL CARE (INTENSIVISTS) in MI
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Provider Addresses for MIRKO VILLANUEVA (MD)
South State Street, Ann Arbor, Washtenaw County, Michigan, 48108-1774, United States
700 KMS PLACE
ANN ARBOR, MI 48108
Phone: (734) 936-2047
Type: Mailing
Mott Children's Hospital and Von Voigtlander Women's Hospital, 1500, East Medical Center Drive, Ann Arbor, Washtenaw County, Michigan, 48109, United States
7TH FLOOR MED INN
ANN ARBOR, MI 481095845
Phone: (734) 936-9068
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: 2025-12-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 15 Medicare enrollment records; no due dates published yet.
Enrollment records
15
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 |
|---|---|---|---|---|
| I20131119001647 | I | Pulmonary Disease | CA | TBD |
| I20220801002518 | I | Critical Care (Intensivists) | WA | TBD |
| I20220912002772 | I | Critical Care (Intensivists) | GA | TBD |
| I20221014000209 | I | Critical Care (Intensivists) | DE | TBD |
| I20230117000110 | I | Critical Care (Intensivists) | IN | TBD |
| I20230127000379 | I | Critical Care (Intensivists) | VA | TBD |
| I20230209002520 | I | Critical Care (Intensivists) | OR | TBD |
| I20230406001264 | I | Internal Medicine | MT | TBD |
| I20230525001371 | I | Internal Medicine | NY | TBD |
| I20230730000195 | I | Critical Care (Intensivists) | IL | TBD |
| I20230801001084 | I | Critical Care (Intensivists) | CT | TBD |
| I20231005000264 | I | Critical Care (Intensivists) | OH | TBD |
| I20250416000788 | I | Internal Medicine | NM | TBD |
| I20250901000535 | I | Internal Medicine | TX | TBD |
| I20251213000185 | I | Internal Medicine | SC | 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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99291 | Critical care, first 30-74 minutes | 211 | 91 | $0 |
Insurance plans in this area (ZIP 48108)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Critical Care (Intensivists), Emergency Medicine, Pulmonary Disease, Internal Medicine | TN | |
| Critical Care (Intensivists), Pulmonary Disease, Internal Medicine, Internal Medicine | NV | |
| Internal Medicine, Critical Care (Intensivists) | IL | |
| Internal Medicine, Internal Medicine, Critical Care (Intensivists), Pulmonary Disease | NJ | |
| Internal Medicine, Critical Care (Intensivists) | IL | |
| Critical Care (Intensivists), Pulmonary Disease | IL | |
| Internal Medicine | VA | |
| Critical Care (Intensivists), Internal Medicine | PA | |
| Nurse Practitioner | IL | |
| Pulmonary Disease, Critical Care (Intensivists), Internal Medicine | TX |
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