Enrico Villanueva, M.D.
NPI 1376513812 · Specialist · Frederick, MD
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Enrico Villanueva, M.D. is a Specialist provider in Frederick, MD (NPI 1376513812).
Provider details
- NPI number
- 1376513812
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- D55949 (MD)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
20 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
1,371 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 843 | $127 |
| Administration of Chemotherapy Into Vein, 1 Hour Or Less96413 | 170 | $127 |
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 126 | $89 |
| Injection of Drug Or Substance Under Skin Or Into Muscle96372 | 114 | $14 |
| New Patient Office Or Other Outpatient Visit With Moderate Level of Medical Decision Making, If Using Time, 45 Minutes Or More99204 | 94 | $165 |
| Dxa Bone Density Measurement of Hip, Pelvis, Spine77080 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 18 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 321 | 85 |
| Methotrexate Sodiumbrand: Methotrexate | 223 | 66 |
| Hydroxychloroquine Sulfate | 99 | 33 |
| Etanerceptbrand: Enbrel Sureclick | 74 | — |
| Allopurinol | 55 | 17 |
| Leflunomide | 49 | 14 |
| Adalimumabbrand: Humira(cf) Pen |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$2,014 across 94 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-01-26
- Last updated
- 2020-06-14
- Certified
- 2020-06-14
Frequently asked questions
- What is Enrico Villanueva's NPI number?
- Enrico Villanueva's National Provider Identifier (NPI) is 1376513812, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Enrico Villanueva's specialty?
- Enrico Villanueva is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Enrico Villanueva located?
- Enrico Villanueva's practice location on file with NPPES is 86 Thomas Johnson Ct, Frederick, MD 21702-4348.
- What is Enrico Villanueva's phone number?
- The practice phone number listed in the NPPES registry for Enrico Villanueva is (301) 694-8311.
- Does Enrico Villanueva accept Medicare?
- Enrico Villanueva is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Enrico Villanueva's NPI active?
- Yes — Enrico Villanueva's NPI (1376513812) is active in the NPPES registry as of the last update on 2020-06-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.