IndividualActive
Ethan Villavicencio, MD
NPI 1699610980 · Surgery Physician · Philadelphia, PA
Ethan Villavicencio, MD is a Surgery Physician provider in Philadelphia, PA (NPI 1699610980).
Provider details
- NPI number
- 1699610980
- Entity type
- Individual
- Primary specialty
- Surgery PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- MT236383 (PA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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 methodology.
Practice location
3401 N Broad St
Philadelphia, PA 19140-5189
Phone: (215) 707-2000
Street-level locationGet directions
Mailing address
3401 N Broad St
Philadelphia, PA 19140-5189
Registry dates
- Enumerated
- 2026-04-22
- Last updated
- 2026-04-29
- Certified
- 2026-04-29
Frequently asked questions
- What is Ethan Villavicencio's NPI number?
- Ethan Villavicencio's National Provider Identifier (NPI) is 1699610980, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Villavicencio's specialty?
- Ethan Villavicencio is listed in the NPPES registry with a primary specialty of Surgery Physician (Allopathic & Osteopathic Physicians).
- Where is Ethan Villavicencio located?
- Ethan Villavicencio's practice location on file with NPPES is 3401 N Broad St, Philadelphia, PA 19140-5189.
- What is Ethan Villavicencio's phone number?
- The practice phone number listed in the NPPES registry for Ethan Villavicencio is (215) 707-2000.
- Is Ethan Villavicencio's NPI active?
- Yes — Ethan Villavicencio's NPI (1699610980) is active in the NPPES registry as of the last update on 2026-04-29.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.