Luis Antonio Velazquez, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

R225819 Issued in MD

Practice address

100 Hospital Rd
Prince Frederick, MD 20678-4017

Phone

(410) 635-4000

NPI assigned

Mar 29, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD, DC2 enrollments

Enrollment records 2

Specialty

Certified Registered Nurse Anesthetist (Crna)

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medstar Medical Group II LLCGroup PAC ID 0547413825, 3,726 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Medstar Saint Mary'S Hospital Hospital, Leonardtown, MD, CCN 210028

Merit-based Incentive Payment System (MIPS)

Final score

81.41 of 100Reported as group

Quality

61.45

Promoting interoperability

96

Improvement activities

40

Cost

79.91

Medicare enrollment (NPD)

Enrolled

Credentials

Certified Registered Nurse

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1184046187

  DC, MD

  Medicare reassignment Care Compare group NPD
• Medstar Medical Group - Southern Maryland LLC

  • Internal Medicine Physician
  • Hollywood, MD
  • NPI 1831592211

  MD

  Medicare reassignment NPD
• Medstar Medical Group Anesthesiology LLC

  • Anesthesiology Physician
  • Baltimore, MD
  • NPI 1528578333

  DC, MD

  Medicare reassignment NPD
• North American Partners in Anesthesia Maryland LLC

  • Anesthesiology Physician
  • Prince Frederick, MD
  • NPI 1093707879

  MD

  Medicare reassignment NPD
• North Calvert Anesthesiology Services LLC

  • Anesthesiology Physician
  • Baltimore, MD
  • NPI 1710360227

  MD

  Medicare reassignment NPD
• Tidewater Anesthesia Associates, PA

  • Anesthesiology Physician
  • Easton, MD
  • NPI 1780621474

  MD, Nurse Anesthetist, Certified Registered

  Medicare reassignment NPD
• Medstar Medical Group II LLC

  • General Practice Physician
  • Chevy Chase, MD
  • NPI 1003284282
  Care Compare group
• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1043801061
  Care Compare group
• Medstar Medical Group II LLC

  • General Practice Physician
  • Baltimore, MD
  • NPI 1083247894
  Care Compare group
• Medstar Medical Group II LLC

  • General Practice Physician
  • White Plains, MD
  • NPI 1407559081
  Care Compare group
• Medstar Medical Group II LLC

  • General Practice Physician
  • Timonium, MD
  • NPI 1457023079
  Care Compare group
• Medstar Medical Group II LLC

  • General Practice Physician
  • Perry Hall, MD
  • NPI 1487326013
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• St Marys Hospital of St Marys County Inc

  • General Acute Care Hospital
  • Leonardtown, MD
  • NPI 1780650473

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522281600000",
    "number": "1003311002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24730 RED HILL CT",
            "city": "HOLLYWOOD",
            "state": "MD",
            "postal_code": "206364848",
            "telephone_number": "617-699-7920",
            "fax_number": "617-699-7920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HOSPITAL RD",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206784017",
            "telephone_number": "410-635-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "LUIS",
        "middle_name": "ANTONIO",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-29",
        "last_updated": "2018-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "MD",
            "license": "R225819",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trisha Nicole Ungar, LCSW
• University of Maryland Specialty Care Network LLC
• University of Maryland Specialty Care Network LLC
• Utopia Health Center
• Dianna L Varner
• Beth Valerie Vendemmia, M.A., CCC-A
• Jeffery Ryan Viken, MD
• Marco Viray
• Charlett L Vittatoe
• Marziyeh Viverette, FNP-BC

• All providers in Prince Frederick, MD
• Certified Registered Nurse Anesthetist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.