Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Manuel Santos Villareal, MD

Individual provider Allergy & Immunology (Internal Medicine) Physician · NPI 1255389409

Dr. Manuel Santos Villareal, MD is an Allergy/Immunology in Lakeside Park, Kentucky. Qualified in 1984, 42 years ago. Practices with Head and Neck Surgery Associates, PSC, a 28-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Kentucky and Ohio.

Years since qualifying
42
Licensed in
KY, OH
In the registry since
2006
Specialties on file
6
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

2300 Chamber Center Dr Ste 102
Lakeside Park, KY 41017-1686
Phone: (859) 781-4900
Fax: (859) 572-3039
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3130 Highland Ave, Cincinnati, OH 45219-2399 — (513) 584-3686

Specialties & licences

Allergy & Immunology (Internal Medicine) Physician (primary) Taxonomy 207RA0201X · Licence 30879 (KY)
Allergy & Immunology Physician Taxonomy 207K00000X · Licence 35070669 (OH)
Allergy Physician Taxonomy 207KA0200X · Licence 30879 (KY)
Allergy & Immunology (Internal Medicine) Physician Taxonomy 207RA0201X · Licence 35070669 (OH)
Allergy & Immunology (Internal Medicine) Physician Taxonomy 207RA0201X · Licence 35 070669 (OH)
Geriatric Medicine (Internal Medicine) Physician Taxonomy 207RG0300X · Licence 35070669 (OH)

Record details

NPI number1255389409
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 4, 2006
Last updated in NPPESApril 30, 2018

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyALLERGY/IMMUNOLOGY
Also practisesINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1984 (42 years in practice)
Group practice Head And Neck Surgery Associates, Psc — 28 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare