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VICTOR ADALBERT GERALDEZ DE VILLA M.D. NPI 1043485139


NPI Information

NPI: 1043485139
Provider Name: VICTOR ADALBERT GERALDEZ DE VILLA, M.D.
Classification: Internal Medicine - 207RE0101X
Entity Type: Individual

Specialization: Endocrinology, Diabetes & Metabolism

PECOS Registration: Yes

Address:
720 S VANBUREN ST
SUITE 104
GREEN BAY, WI
ZIP 54301
Phone: (920) 433-6050
Get Directions

Victor Adalbert Geraldez De Villa, M.D. is an endocrinology and diabetes and metabolism internal medicine in Green Bay, WI with 30 years of experience. The provider is an internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems. Victor Adalbert Geraldez De Villa, M.D. NPI is 1043485139. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

720 S VANBUREN ST
SUITE 104
GREEN BAY, WI
ZIP 54301-538
Phone: (920) 433-6050
Fax: (920) 433-6049

The NPI 1043485139 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Blood test, comprehensive group of blood chemicals (HCPCS:80053)
  • Hemoglobin a1c level (HCPCS:83036)
  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)

The enumeration date for this NPI number is 4/29/2008 and was last updated on 3/5/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism4301114122MICHIGANYes
2207RE0101XInternal MedicineEndocrinology, Diabetes & Metabolism24449NEBRASKANo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
110026169400MEDICAIDNEBRASKA
210026133000MEDICAIDNEBRASKA
3P00705495OTHERNEBRASKARAILROAD MEDICARE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.