JUAN MARIO VILLAFANI (MD FACS) – Surgery Physician, NPI 1104882992

JUAN MARIO VILLAFANI (MD FACS) is a healthcare provider. based in Kingwood, Texas. specializing in GENERAL SURGERY. They hold the professional credentials MD FACS. They hold a License No. J9930 (TX). The NPI Number for JUAN MARIO VILLAFANI (MD FACS) is 1104882992

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
JUAN MARIO VILLAFANI (MD FACS)
NPI
1104882992
Phone
(281) 548-3555
Address
22710 PROFESSIONAL DR
Enumeration Date
21 April 2006
Last Update Date
26 April 2017

Doctor Profile

Medical School Name
UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS
Secondary Phone
2814467173
Graduation Year
1991 (35 years ago)
PAC ID
2264403062
Group Practice PAC ID
0941236301
Professional Enrollment ID
I20040804001381
Address ID
TX773383916HU1702XEXXX600
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

2,644 GENERAL SURGERY in TX

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Provider Addresses for JUAN MARIO VILLAFANI (MD FACS)

  • 22710 PROFESSIONAL DR

    STE 102

    KINGWOOD, TX 773396008

    Phone: (281) 548-3555

    Fax: (281) 548-3552

    Type: Mailing

  • Kingwood Drive, Kingwood Lakes, Houston, Harris County, Texas, 77339, United States

    BLDG 9

    KINGWOOD, TX 773393773

    Phone: (281) 548-3555

    Fax: (281) 548-3552

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 11 Open Payments records for all available years, with a total value of $1,671.

Total Amount is formed as General ($1,671) + Research ($0) + Ownership ($0) = $1,671.

Last reported payment date: 2024-08-14 • Largest payer in this snapshot: Intuitive Surgical, Inc. ($1,386).

Total Amount

$1,671

General + Research + Ownership

Payments

11

Total payment records

General Amount

$1,671

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-14

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2004-08-04

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

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

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040804001381IGeneral SurgeryTXTBD

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
99213Established patient office or other outpatient visit, 20-29 minutes3736$0
99203New patient office or other outpatient visit, 30-44 minutes2525$0
99204New patient office or other outpatient visit, 45-59 minutes1313$0
99214Established patient office or other outpatient visit, 30-39 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 77339)

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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: 0941236301View full group profile
NameSpecialtyState
Physician AssistantTX
Pulmonary Disease, Critical Care (Intensivists)TX
Orthopedic Surgery, Hand SurgeryTX
Internal Medicine, Pediatric MedicineTX
Cardiovascular Disease (Cardiology)TX
Interventional Cardiology, Cardiovascular Disease (Cardiology)NJ
E N D O C R I N O L O G YNY
Internal MedicineTX
E N D O C R I N O L O G YTX
Internal MedicineTX

Reviews

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Frequently asked questions

How is JUAN MARIO VILLAFANI (MD FACS) identified in CMS data?
CMS-hosted NPPES data lists JUAN MARIO VILLAFANI (MD FACS) with NPI 1104882992.
Does the file indicate JUAN MARIO VILLAFANI (MD FACS) is practicing under active NPI?
Directory data currently reports JUAN MARIO VILLAFANI (MD FACS) as active.
What taxonomy line describes JUAN MARIO VILLAFANI (MD FACS)?
For research purposes, treat JUAN MARIO VILLAFANI (MD FACS) as Surgery Physician in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for JUAN MARIO VILLAFANI (MD FACS)?
JUAN MARIO VILLAFANI (MD FACS)'s geographic hint is Kingwood, Texas in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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