TERESITA VILLASIS (M.D.) – Family Medicine Physician, NPI 1710970488

TERESITA VILLASIS (M.D.) is a healthcare provider. based in Saint joseph, Michigan. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. 4301062539 (MI). The NPI Number for TERESITA VILLASIS (M.D.) is 1710970488

Main info

Female
53 Years Of Experience
Accepts Medicare Assignment
Name
TERESITA VILLASIS (M.D.)
NPI
1710970488
Phone
(269) 428-9301
Address
1010 WESTWOOD DR
Enumeration Date
26 August 2005
Last Update Date
9 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1973 (53 years ago)
PAC ID
8224167515
Group Practice PAC ID
7719881002
Professional Enrollment ID
I20100525000668
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for TERESITA VILLASIS (M.D.)

  • 1010, Westwood Drive, Vineland, Saint Joseph Charter Township, Berrien County, Michigan, 49085, United States

    SAINT JOSEPH, MI 490853534

    Phone: (269) 428-9301

    Type: Mailing

  • 310, South Front Street, Dowagiac, Cass County, Michigan, 49047, United States

    DOWAGIAC, MI 490471740

    Phone: (269) 782-8696

    Fax: (269) 782-0816

    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: 2010-05-25

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100525000668IFamily PracticeMITBD

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.

Verify on CMS Revalidation Lookup Tool

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 49085)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7719881002View full group profile
NameSpecialtyState
Diagnostic RadiologyPA
-WI
Internal Medicine, Cardiovascular Disease (Cardiology)MI
-MI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI
Internal MedicineMI
Certified Registered Nurse Anesthetist (Crna)MI
-MI
Hematology/Oncology, Internal MedicineMI
Interventional Cardiology, Cardiovascular Disease (Cardiology)MI

Reviews

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Frequently asked questions

What unique ID ties claims to TERESITA VILLASIS (M.D.)?
NPI 1710970488 is assigned to TERESITA VILLASIS (M.D.) under the national enumeration system.
Is TERESITA VILLASIS (M.D.) currently active in the NPI registry?
CMS-published data lists TERESITA VILLASIS (M.D.) as an active registrant.
Can you summarize TERESITA VILLASIS (M.D.)'s specialty in plain language?
Clinically, the directory lists TERESITA VILLASIS (M.D.) with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for TERESITA VILLASIS (M.D.)?
The page summarizes Saint Joseph, Michigan for TERESITA VILLASIS (M.D.); expand the address list for detail.
What if Saint Joseph, Michigan seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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