Dr Luis E Villaplana, MD - Medicare Internal Medicine in Youngstown, OH

Dr Luis E Villaplana, MD is a medicare enrolled "Internal Medicine" physician in Youngstown, Ohio. He went to Ponce School Of Medicine and graduated in 1986 and has 38 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Meridian Healthcare and his current practice location is 527 N Meridian Rd, Youngstown, Ohio. You can reach out to his office (for appointments etc.) via phone at (330) 797-0070.

Dr Luis E Villaplana is licensed to practice in Ohio (license number 35.057236) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1992766638.

Contact Information

Dr Luis E Villaplana, MD
527 N Meridian Rd,
Youngstown, OH 44509-1227
(330) 797-0070
(330) 797-9146

Map and Direction




Physician's Profile

Full NameDr Luis E Villaplana
GenderMale
SpecialityInternal Medicine
Experience38 Years
Location527 N Meridian Rd, Youngstown, Ohio
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Luis E Villaplana attended and graduated from Ponce School Of Medicine in 1986
  NPI Data:
  • NPI Number: 1992766638
  • Provider Enumeration Date: 03/31/2006
  • Last Update Date: 09/26/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 6406760321
  • Enrollment ID: I20031114000654

Medical Identifiers

Medical identifiers for Dr Luis E Villaplana such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992766638NPI-NPPES
0724836MedicaidOH

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine 35.057236 (Ohio)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Meridian Healthcare377955399523

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Luis E Villaplana allows following entities to bill medicare on his behalf.
Entity NameMeridian Healthcare
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356307235
PECOS PAC ID: 3779553995
Enrollment ID: O20040727000602
Entity NameZinni Family Practice Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275299554
PECOS PAC ID: 7719377050
Enrollment ID: O20211201000911

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Luis E Villaplana is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Luis E Villaplana, MD
527 N Meridian Rd,
Youngstown, OH 44509-1227

Ph: (330) 797-0070
Dr Luis E Villaplana, MD
527 N Meridian Rd,
Youngstown, OH 44509-1227

Ph: (330) 797-0070

Reviews and Comments


Internal Medicine Doctors in Youngstown, OH

Dr. Khaled Al-taieb, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 465 Gypsy Ln Apt 407, Youngstown, OH 44504
Phone: 330-391-0462    
Dr. Michael Allen Van Winkle, D.O
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1044 Belmont Ave, Youngstown, OH 44504
Phone: 330-480-3676    Fax: 330-480-7979
Dr. Ayesha Khadka, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: St. Elizabeth Youngstown Hospital, Internal Medicine, 1001 Covington St. Youngstown, Youngstown, OH 44510
Phone: 330-480-2616    
Dr. Ghazaleh Bigdeli, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 925 Trailwood Dr, Youngstown, OH 44512
Phone: 330-758-7575    
Dr. Jeffrey C Halley, MD
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 250 Debartolo Pl, Suite 2750, Youngstown, OH 44512
Phone: 330-758-7703    Fax: 330-758-4930
Dr. Masud R Bhatti, M.D.
Internal Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 835 Southwestern Run, Youngstown, OH 44514
Phone: 330-318-1100    
Chakri Yarlagadda, M.D.
Internal Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 1001 Belmont Ave, Youngstown, OH 44504
Phone: 330-747-6446    Fax: 330-747-6843

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.