ANGEL L JR. VILLANUEVA (MD) – Psychiatry Physician, NPI 1255370714

ANGEL L JR. VILLANUEVA (MD) is a healthcare provider. based in Columbus, Ohio. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. 35.041340 (OH). The NPI Number for ANGEL L JR. VILLANUEVA (MD) is 1255370714

Main info

Male
57 Years Of Experience
Accepts Medicare Assignment
Name
ANGEL L JR. VILLANUEVA (MD)
NPI
1255370714
Phone
(614) 371-2303
Address
4770 INDIANOLA AVE STE 107
Enumeration Date
6 June 2006
Last Update Date
19 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6143712303
Graduation Year
1969 (57 years ago)
PAC ID
4284620527
Group Practice PAC ID
6002243755
Professional Enrollment ID
I20040422000855
Address ID
OH432141862CO4770XAVEX307
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness85
Years active:20State licenses:1Digital endpointsOther names

2,673 EMERGENCY MEDICINE in OH

Provider Addresses for ANGEL L JR. VILLANUEVA (MD)

  • 4770 INDIANOLA AVE STE 107

    COLUMBUS, OH 432141862

    Phone: (614) 371-2303

    Fax: (800) 905-9950

    Type: Location

  • 240, Elm Street, London, Madison County, Ohio, 43140, United States

    LONDON, OH 43140

    Phone: (740) 506-8596

    Type: Mailing

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: 2020-07-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20040422000855IEmergency MedicineOHTBD
I20200707003291IInternal MedicineOHTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes5817$0
View full utilization report →

Insurance plans in this area (ZIP 43214)

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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: 6002243755View full group profile
NameSpecialtyState
Clinical Social WorkerOH
Clinical Social WorkerOH
Nurse PractitionerOH
Nurse PractitionerOH
Nurse PractitionerNC
Clinical PsychologistPA
Nurse PractitionerOH

Reviews

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Frequently asked questions

Can I cross-check ANGEL L JR. VILLANUEVA (MD) using NPI 1255370714?
NPI 1255370714 belongs to ANGEL L JR. VILLANUEVA (MD); compare other details if you need extra assurance.
Is ANGEL L JR. VILLANUEVA (MD) still an active registrant?
ANGEL L JR. VILLANUEVA (MD) carries an active NPI according to the public dataset.
What expertise is attributed to ANGEL L JR. VILLANUEVA (MD)?
ANGEL L JR. VILLANUEVA (MD)'s specialty line reads Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where in Ohio is ANGEL L JR. VILLANUEVA (MD) registered?
Use Columbus, Ohio as the headline location for ANGEL L JR. VILLANUEVA (MD) here.
Does ANGEL L JR. VILLANUEVA (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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