Physician Compare National (NPI:1659367647)

HEALTHCARE PROVIDER: RUBEN DARIO VILLA 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	1659367647
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	4880640291
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20050329000983
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	VILLA
	Individual professional last name
Provider First Name	RUBEN
	Individual professional first name
Provider Middle Name	D
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	TEXAS TECH UNIVERSITY HEALTH SCIENCE CENTER SCHOOL OF MEDICINE
	Individual professional's medical school
Primary Specialty	INTERNAL MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	NEPHROLOGY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	NEPHROLOGY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	2728 N DAL PASO
	Group Practice or individual's line 1 address
City	HOBBS
	Group Practice or individual's city
State	NM
	Group Practice or individual's state
Zip Code	882402043
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	450040
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	COVENANT MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 1
Hospital Affiliation CCN 2	450686
	Medicare CCN of hospital where individual professional provides service 2
Hospital Affiliation LBN 2	UNIVERSITY MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 2
Hospital Affiliation CCN 3	320063
	Medicare CCN of hospital where individual professional provides service 3
Hospital Affiliation LBN 3	CARLSBAD MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 3
Hospital Affiliation CCN 4	450162
	Medicare CCN of hospital where individual professional provides service 4
Hospital Affiliation LBN 4	GRACE MEDICAL CENTER
	Legal business name of hospital where individual professional provides service 4
Hospital Affiliation CCN 5	450489
	Medicare CCN of hospital where individual professional provides service 5
Hospital Affiliation LBN 5	MEDICAL ARTS HOSPITAL
	Legal business name of hospital where individual professional provides service 5
Professional Accepts Medicare Assignment	Y

Physician Compare National (NPI:1659367647)

HEALTHCARE PROVIDER: RUBEN DARIO VILLA M.D.

Individual Professional Information

Medical School Information

Practice Information

Hospital(s) Affiliation Information