Individual provider Active NPI

Andrew Joseph Velazquez, MD

  • Ophthalmology Physician
  • Mountain BRK, AL
National Provider Identifier
1013930825
Registry record updated Jun 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
23838 Issued in AL
Practice address
3928 Montclair Rd Ste 100
Mountain BRK, AL 35213-2415
Phone
(205) 592-3911
Fax
(205) 592-3537
NPI assigned
Jul 25, 2006
Last updated
Jun 24, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 23838 AL Primary

Addresses

Primary practice location

3928 Montclair Rd Ste 100
Mountain BRK, AL 35213-2415

Mailing address

3928 Montclair Rd Ste 100
Mountain BRK, AL 35213-2415
Phone (205) 592-3911

Other identifiers 5

IdentifierTypeStateIssuer
P00035987OtherALRAILROAD MEDICARE
009912186MedicaidAL
H62765OtherALHEALTHSPRING OF ALABAMA
051514650OtherALBLUE CROSS
925494OtherALBLOCK VISION

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060223000440 AL Practitioner - Ophthalmology 7911913215 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of South Alabama College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alabama Vision Center, LLCGroup PAC ID 5294753562, 8 clinicians

Practice addresses (Care Compare)

3928 Montclair Rd
Suite 100
Mountain BRK, AL 35213-2415
Phone (205) 592-3911

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.41 of 100Reported as group
Quality
93
Improvement activities
40
Cost
57.38

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery712

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
23838ALMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alabama Vision Center, LLC Ophthalmology CurrentSince Aug 1, 2007 Accepting new patients
University of Alabama Ophthalmology Services Foundation Ophthalmology Past Accepting new patients
Birmingham Hematology Oncology Assoc LLC Past Accepting new patients

Locations

790 Montclair Rd
Ste 100
Birmingham, AL 35213
Phone (205) 592-7571

2621 19th St S
Homewood, AL 35209
Phone (205) 271-8019

7191 Cahaba Valley Rd
Ste 203
Hoover, AL 35242
Phone (205) 236-9943

302 Oakhill Rd
Jasper, AL 35504
Phone (205) 221-7779

3928 Montclair Rd
Ste 100
Mountain Brk, AL 35213
Phone (205) 871-1713

Networks

  • MS PPO
  • MS PPO C-SNP
  • MS PPO D-SNP
  • FL PPO

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: velazquez@alabamavisioncenter.direct.eyemdemr.com

Organizations & group practices 3

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

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624492800000",
    "number": "1013930825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3928 MONTCLAIR RD STE 100",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132415",
            "telephone_number": "205-592-3911",
            "fax_number": "205-592-3537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3928 MONTCLAIR RD STE 100",
            "city": "MOUNTAIN BRK",
            "state": "AL",
            "postal_code": "352132415",
            "telephone_number": "205-592-3911",
            "fax_number": "205-592-3537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "ANDREW",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2021-06-24",
        "certification_date": "2021-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AL",
            "license": "23838",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00035987",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "009912186",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHSPRING OF ALABAMA",
            "identifier": "H62765",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "051514650",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLOCK VISION",
            "identifier": "925494",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain BRK, AL

Sources for this page

Verify at the official NPI Registry.