DR. MIGUEL A VILLALOBOS (MD) – Family Medicine Physician, NPI 1073572228

DR. MIGUEL A VILLALOBOS (MD) is a healthcare provider. based in Salt lake city, Utah. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. G77997 (CA). The NPI Number for DR. MIGUEL A VILLALOBOS (MD) is 1073572228

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
DR. MIGUEL A VILLALOBOS (MD)
NPI
1073572228
Phone
(801) 357-1770
Address
PO BOX 27128
Enumeration Date
17 March 2006
Last Update Date
16 January 2014

Doctor Profile

Medical School Name
UNIVERSITY OF UTAH SCHOOL OF MEDICINE
Secondary Phone
5597374700
Graduation Year
1992 (34 years ago)
PAC ID
0143111062
Group Practice PAC ID
6305756339
Professional Enrollment ID
I20200626000519
Address ID
CA936730000TR4177XAVEX201
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

1,137 FAMILY PRACTICE in UT

Provider Addresses for DR. MIGUEL A VILLALOBOS (MD)

  • PO BOX 27128

    SALT LAKE CITY, UT 841270128

    Phone: (801) 357-1770

    Type: Mailing

  • 354 W STATE ROAD 73

    SARATOGA SPRINGS, UT 840452901

    Phone: (801) 341-5200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $147.

Total Amount is formed as General ($147) + Research ($0) + Ownership ($0) = $147.

Last reported payment date: 2024-12-14 • Largest payer in this snapshot: REVANCE THERAPEUTICS, INC. ($147).

Total Amount

$147

General + Research + Ownership

Payments

6

Total payment records

General Amount

$147

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-14

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: 2020-06-26

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
I20040322000877IFamily PracticeCATBD
I20200626000519IFamily PracticeTXTBD

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 84127)

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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: 6305756339View full group profile
NameSpecialtyState
Physician AssistantCA
Family PracticeKY
Family PracticeCA
General SurgeryCA
-CA
-CA
General PracticeCA
General SurgeryCA
Nurse PractitionerCA
Family PracticeNY

Reviews

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Frequently asked questions

Can I cross-check DR. MIGUEL A VILLALOBOS (MD) using NPI 1073572228?
NPI 1073572228 belongs to DR. MIGUEL A VILLALOBOS (MD); compare other details if you need extra assurance.
Is DR. MIGUEL A VILLALOBOS (MD) still an active registrant?
DR. MIGUEL A VILLALOBOS (MD) carries an active NPI according to the public dataset.
What expertise is attributed to DR. MIGUEL A VILLALOBOS (MD)?
DR. MIGUEL A VILLALOBOS (MD)'s specialty line reads Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DR. MIGUEL A VILLALOBOS (MD)?
Travel planning: use Salt Lake City, Utah as the reference point for DR. MIGUEL A VILLALOBOS (MD), then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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