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

Jennifer Villavicencio, MD

Individual provider Obstetrics & Gynecology Physician · NPI 1790125391

Jennifer Villavicencio, MD is an Obstetrics/Gynecology in Washington, District of Columbia. Qualified in 2013, 13 years ago. Works from 9 locations. Licensed in District of Columbia, Indiana, Maryland and Rhode Island.

Years since qualifying
13
Licensed in
DC, IN, MD, RI
In the registry since
2013
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1225 4th St NE
Washington, DC 20002-3431
Phone: (202) 603-4794
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (8)

  • 705 Riley Hospital Dr, Indianapolis, IN 46202-5109 — (317) 944-7010
  • 19650 Club House Rd # 101, Montgomery Village, MD 20886-3003 — (202) 603-4794
  • 5001 Silver Hill Rd Ste 103, Suitland, MD 20746-5208 — (202) 603-4794
  • 101 Dudley St, Providence, RI 02905-2401 — (401) 274-1122
  • 118 Dudley St, Providence, RI 02905-2403 — (401) 430-8380
  • 2 Dudley St Ste 580, Providence, RI 02905-3244 — (401) 274-1122
  • 166 Toll Gate Rd, Warwick, RI 02886-4411 — (401) 739-2000
  • 455 Toll Gate Rd, Warwick, RI 02886-2759 — (401) 737-7010

Specialties & licences

Obstetrics & Gynecology Physician (primary) Taxonomy 207V00000X · Licence D90207 (MD)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence MD048779 (DC)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 01098372A (IN)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence MD20424 (RI)

Record details

NPI number1790125391
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 27, 2013
Last updated in NPPESJune 5, 2026
Certification dateJune 5, 2026

Medicare enrollment

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

Medicare specialtyOBSTETRICS/GYNECOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Accepts Medicare assignment Not indicated
Practice locations6 on file with Medicare

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