Justo Villanueva, MD
NPI 1972768273 · General Practice Physician · Hialeah, FL
Enrolled with Medicare as Practitioner - General Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Justo Villanueva, MD is a General Practice Physician provider in Hialeah, FL (NPI 1972768273).
Provider details
- NPI number
- 1972768273
- Entity type
- Individual
- Primary specialty
- General Practice PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME71662 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
17 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
13 Medicare services, 2024 (ranked within specialty)
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 methodology.
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 Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 13 | $95 |
Typical Medicare-allowed amounts for these services range $95–$95 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 145 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Atorvastatin Calcium | 866 | 282 |
| Losartan Potassium | 440 | 140 |
| Lisinopril | 358 | 103 |
| Metformin Hcl | 344 | 109 |
| Amlodipine Besylate | 332 | 104 |
| Omeprazole | 303 | 97 |
| Rosuvastatin Calcium |
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-07-25
- Last updated
- 2012-09-21
Frequently asked questions
- What is Justo Villanueva's NPI number?
- Justo Villanueva's National Provider Identifier (NPI) is 1972768273, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Justo Villanueva's specialty?
- Justo Villanueva is listed in the NPPES registry with a primary specialty of General Practice Physician (Allopathic & Osteopathic Physicians).
- Where is Justo Villanueva located?
- Justo Villanueva's practice location on file with NPPES is 4201 Palm Ave, Hialeah, FL 33012-4424.
- What is Justo Villanueva's phone number?
- The practice phone number listed in the NPPES registry for Justo Villanueva is (305) 823-0210.
- Does Justo Villanueva accept Medicare?
- Justo Villanueva is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Justo Villanueva's NPI active?
- Yes — Justo Villanueva's NPI (1972768273) is active in the NPPES registry as of the last update on 2012-09-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.