Physician Compare National (NPI:1154418119)

HEALTHCARE PROVIDER: HUGO A VILLARREAL M.D.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1154418119
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274538699
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20080924000614
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VILLARREAL
	Individual professional last name
Provider First Name	HUGO
	Individual professional first name
Provider Middle Name	A
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	1988
	Individual professional's medical school graduation year
Primary Specialty	GASTROENTEROLOGY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1103 W LIBERTY ST
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 3045
	Group Practice or individual's line 2 address
City	FARMINGTON
	Group Practice or individual's city
State	MO
	Group Practice or individual's state
Zip Code	636401921
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	140059
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	JERSEY COMMUNITY HOSPITAL
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	260108
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	MISSOURI BAPTIST MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	260163
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	PARKLAND HEALTH CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	261302
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	MADISON MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	260032
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	BARNES JEWISH HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1154418119)

HEALTHCARE PROVIDER: HUGO A VILLARREAL M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information