DR. CARLOS R VILLALTA (MD) – Pediatrics Physician, NPI 1639137193
Pediatrics Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,256 PEDIATRIC MEDICINE in TX
Provider Addresses for DR. CARLOS R VILLALTA (MD)
210 S Bryan Rd
Suite 5A
Mission, TX 785726204
Phone: (956) 585-6611
Fax: (956) 524-5157
Type: Location
202 PALMVIEW DR STE 1
PALMVIEW, TX 785729394
Phone: (956) 225-2625
Fax: (956) 598-6069
Type: Location
PO BOX 3371
MISSION, TX 785730057
Phone: (956) 362-9600
Fax: (956) 598-6069
Type: Mailing
Mission, Havnegade, Christianshavn, Copenhagen, Copenhagen Municipality, Capital Region of Denmark, 1053, Denmark
MISSION, TX 785730029
Phone: (956) 342-9600
Fax: (956) 524-5157
Type: Mailing
US Highway 281 North, Bulverde, Comal County, Texas, 78163, United States
BULVERDE, TX 781633272
Phone: (210) 742-7300
Fax: (210) 742-7301
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $125.
Total Amount is formed as General ($125) + Research ($0) + Ownership ($0) = $125.
Last reported payment date: 2024-12-10 • Largest payer in this snapshot: PFIZER INC. ($49).
Total Amount
$125
General + Research + Ownership
Payments
4
Total payment records
General Amount
$125
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| PFIZER INC. | $49 |
| Otsuka America Pharmaceutical, Inc. | $48 |
| GlaxoSmithKline, LLC. | $28 |
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: 2010-05-20
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 |
|---|---|---|---|---|
| I20100520000565 | I | Pediatric Medicine | TX | 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 78572)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physician Assistant | TX | |
| - | TX | |
| Nurse Practitioner | TX | |
| - | TX | |
| - | TX | |
| - | TX |
Reviews
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