Manuel Villareal, MD
Manuel Villareal, MD is an Allergy & Immunology (Internal Medicine) Physician in Lakeside Park, KY, registered under NPI 1255389409. This provider registers 4 separate taxonomy codes, which usually means they practise across more than one recognised specialty.
Getting there
The practice address on file is 2300 CHAMBER CENTER DR STE 102, Lakeside Park, KY 41017. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 30879 | KY | Allergy & Immunology (Internal Medicine)… primary |
| 35070669 | OH | Allergy & Immunology Physician |
| 30879 | KY | Allergy Physician |
| 35070669 | OH | Allergy & Immunology (Internal Medicine)… |
| 35 070669 | OH | Allergy & Immunology (Internal Medicine)… |
| 35070669 | OH | Geriatric Medicine (Internal Medicine)… |
Licences are recorded in 2 states: KY, OH. Providers licensed in several states often practise near a state border or deliver telehealth across state lines.
- Status
- Approved
- Provider type
- Practitioner - Allergy/immunology
- PAC ID
- 0547289480
Enrolled in Medicare 2 times, across 2 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Ohio | I20051121000243 | Practitioner - Allergy/immunology |
| Kentucky | I20100722000526 | Practitioner - Allergy/immunology |
Medicare enrolment is recorded as approved under the provider type Practitioner - Allergy/immunology. There are 2 separate enrolment records across 2 states (OH, KY). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
Licensed in 2 states
This provider holds licences in 2 states: Kentucky and Ohio. The practice address on file is in Lakeside Park, KY, but a licence in another state usually means they see patients there too — either at a second location or by telehealth. If the address above is far from you, it is worth calling to ask whether they practise closer to where you live.
- Licence
- 30879
- Specialty
- Allergy & Immunology (Internal…
Licence numbers are self-reported to NPPES at registration. They do not confirm a licence is currently active, in good standing, or valid for the specialty shown — only the state board can tell you that, which is why we link to each one.
What Allergy & Immunology covers
An internist doctor of osteopathy that specializes in the treatment of allergy and immunologic disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine can obtain a Certificate of Special Qualifications in the field of Allergy & Immunology. NUCC Health Care Provider Taxonomy, code 207RA0201X
All registered taxonomy codes
This provider registers 6 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 207RA0201X | Allergy & Immunology (Internal Medicine) Physician Allergy & Immunology | 30879 | KY | primary |
| 207K00000X | Allergy & Immunology Physician | 35070669 | OH | |
| 207KA0200X | Allergy Physician Allergy | 30879 | KY | |
| 207RA0201X | Allergy & Immunology (Internal Medicine) Physician Allergy & Immunology | 35070669 | OH | |
| 207RA0201X | Allergy & Immunology (Internal Medicine) Physician Allergy & Immunology | 35 070669 | OH | |
| 207RG0300X | Geriatric Medicine (Internal Medicine) Physician Geriatric Medicine | 35070669 | OH |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.
| NPI | 1255389409 valid check digit |
|---|---|
| Entity type | Individual (NPI-1) |
| Enumeration date | May 4, 2006 |
| Last updated | Apr 30, 2018 |
| Status | Active |
| Sole proprietor | No |
| Gender | Male |
| Credential | MD |
| Practice address |
2300 CHAMBER CENTER DR STE 102 Lakeside Park, KY 41017 (859) 781-4900 Fax (859) 572-3039 |
| Mailing address |
2830 VICTORY PKWY Cincinnati, OH 45206 |
| Other identifiers |
000000001005
· Other (KY) 000000033648 · Other (KY) 0220092 · Other (KY) 138180523662 · Other (KY) 200518220 · Medicaid (IN) 2064564 · Medicaid (OH) 610715494 · Other (KY) 64308794 · Medicaid (KY) 650439 · Other (KY) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 5 | 5 | 3 | 8 | 9 | 4 | 0 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 1 | 5 | 6 | 8 | 9 | 4 | 0 |
Sum = 61 · next multiple of 10 = 70 · check digit = 9 · actual last digit = 9
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.