JOHN G VILLANUEVA (MD) – Family Medicine Physician, NPI 1265410427

JOHN G VILLANUEVA (MD) is a healthcare provider. based in Prince george, Virginia. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. 0101228975 (VA). The NPI Number for JOHN G VILLANUEVA (MD) is 1265410427

Main info

Male
35 Years Of Experience
Accepts Medicare Assignment
Name
JOHN G VILLANUEVA (MD)
NPI
1265410427
Phone
(804) 452-5800
Address
4260 CROSSINGS BLVD
Enumeration Date
6 January 2006
Last Update Date
24 January 2014

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4345425560
Graduation Year
1991 (35 years ago)
PAC ID
3870670979
Group Practice PAC ID
0345158432
Professional Enrollment ID
I20080414000030
Address ID
VA239233747CH165XXAVEX300
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

3,174 FAMILY PRACTICE in VA

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Provider Addresses for JOHN G VILLANUEVA (MD)

  • 4260, Crossings Boulevard, Prince George County, Virginia, 23875, United States

    SUITE 2

    PRINCE GEORGE, VA 238751400

    Phone: (804) 452-5800

    Fax: (804) 452-5801

    Type: Location

  • PO BOX 220

    25892 N. JAMES MADISON HWY

    NEW CANTON, VA 23123

    Phone: (434) 581-3271

    Fax: (434) 581-1704

    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: 2008-04-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-07-31 (1045 days ago).

Enrollment records

1

Earliest due date

2023-07-31

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
I20080414000030IFamily PracticeVA2023-07-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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
81003Automated urinalysis test4231$0
90677Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use2020$0
View full utilization report →

Insurance plans in this area (ZIP 23875)

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Provider's Procedures

JOHN G VILLANUEVA (MD) performs procedures in FAMILY PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEVA90670Pneumococcal vaccine for injection into muscle1616

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: 0345158432View full group profile
NameSpecialtyState
Nurse PractitionerVA
-VA
Clinical Social WorkerVA
-VA
Family PracticeVA
Nurse PractitionerVA
Family PracticeVA
Nurse PractitionerVA
-VA
Clinical Social WorkerVA

Reviews

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Frequently asked questions

What is the standard ID for JOHN G VILLANUEVA (MD) in the U.S.?
In the U.S., JOHN G VILLANUEVA (MD) is identified by NPI 1265410427.
Does the public listing show JOHN G VILLANUEVA (MD) as active?
JOHN G VILLANUEVA (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret JOHN G VILLANUEVA (MD)'s specialty?
The extract shows Family Medicine Physician for JOHN G VILLANUEVA (MD). Clinical services aligned with this taxonomy classification.
Which community is linked to JOHN G VILLANUEVA (MD)?
JOHN G VILLANUEVA (MD) shows a connection to Prince George, Virginia in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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