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

Nicholas Villalta

Individual provider Hospitalist Physician · NPI 1962936153

Nicholas Villalta is an Internal Medicine in Chicago, Illinois. Qualified in 2017, 9 years ago. Practices with Temple Faculty Practice Plan Inc, a 1,314-clinician group and accepts Medicare assignment. Licensed in Illinois and Pennsylvania.

Years since qualifying
9
Licensed in
IL, PA
In the registry since
2017
Specialties on file
2
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Practice location Address checks out

1620 W Harrison St
Chicago, IL 60612-3801
Phone: (312) 942-4200
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hospitalist Physician (primary) Taxonomy 208M00000X · Licence 036.180417 (IL)
Internal Medicine Physician Taxonomy 207R00000X · Licence MD470271 (PA)

Record details

NPI number1962936153
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedApril 14, 2017
Last updated in NPPESJune 9, 2026
Certification dateJune 9, 2026

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Temple Faculty Practice Plan Inc — 1314 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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