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

Mario Raul Villalba, MD

Individual provider Surgery Physician · NPI 1285849190

Mario Raul Villalba, MD is a General Surgery in Royal Oak, Michigan. Graduated from Wayne State University School of Medicine in 2004, 22 years ago. Practices with Michigan Healthcare Professionals PC, a 520-clinician group and accepts Medicare assignment. Licensed in Michigan.

Years since qualifying
22
Trained at
Wayne State University School of Medicine
Licensed in
MI
In the registry since
2007
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

3535 W 13 Mile Rd Ste 501
Royal Oak, MI 48073-6770
Phone: (248) 288-1130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence 4301084028 (MI)

Record details

NPI number1285849190
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 14, 2007
Last updated in NPPESOctober 23, 2020
Certification dateOctober 23, 2020

Medicare enrollment

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

Medicare specialtyGENERAL SURGERY
Also practisesCRITICAL CARE (INTENSIVISTS)
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2004 (22 years in practice)
Group practice Michigan Healthcare Professionals Pc — 520 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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