RAPHAEL VILLAVICENCIO MD NPI 1780643627

NPI Information

  • NPI: 1780643627
  • Provider Name: RAPHAEL VILLAVICENCIO, MD
  • Classification: Hospitalist - 208M00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1481 W 10TH ST
    MEDICINE SERVICE, 111
    INDIANAPOLIS, IN
    ZIP 46202
  • Phone: (317) 554-0000

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NPI Details

Raphael Villavicencio, MD is a hospitalist in Indianapolis, IN with 33 years of experience. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. Raphael Villavicencio, MD NPI is 1780643627. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: BAYLOR COLLEGE OF MEDICINE
Graduation Year:1993

The provider's business location address is:

1481 W 10TH ST
MEDICINE SERVICE, 111
INDIANAPOLIS, IN
ZIP 46202-803
Phone: (317) 554-0000

The NPI 1780643627 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 enumeration date for this NPI number is 3/20/2006 and was last updated on 12/3/2010.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208M00000XHospitalist01051969AINDIANAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
19397565OTHERINDIANAPHCS PID NUMBER
2815500G8MEDICARE PININDIANA
3000000351160OTHERINDIANAANTHEM PROVIDER NUMBER
4H24565MEDICARE UPININDIANA
5815469VVVMEDICARE PININDIANA
6200300450MEDICAIDINDIANA
7P00162690MEDICARE PININDIANA

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: 11/21/2025

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