Individual provider Active NPI

Miguel A. Velazquez, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Westbrook, ME
National Provider Identifier
1043241516
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
1761 Issued in ME
Practice address
2 Chabot St
Westbrook, ME 04092-4817
Phone
(207) 857-9311
Fax
(207) 857-9324
NPI assigned
Jul 5, 2006
Last updated
Jun 4, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 1761 ME Primary
Family Medicine Physician 207Q00000X 1761 ME

Addresses

Primary practice location

2 Chabot St
Westbrook, ME 04092-4817

Mailing address

2 Chabot St
Westbrook, ME 04092-4817
Phone (207) 857-9311

Other identifiers 1

IdentifierTypeStateIssuer
431815799MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
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
I20050803000591 ME Practitioner - Osteopathic Manipulative MedicinePractitioner - Family Practice 0143258756 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative MedicineAlso: Family Practice
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

240 Main St
Westbrook, ME 04092-4733
Phone (207) 887-4172

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Maine Medical Center CurrentSince Nov 1, 2010 Accepting new patients
Miguel Velazquez DO, P.a. Neuromusculoskeletal Medicine & Omm CurrentSince Aug 3, 2010 Accepting new patients
Central Maine Medical Center CurrentSince Nov 1, 2010 Accepting new patients

Locations

300 Main St
Lewiston, ME 04240
Phone (207) 795-2400

240 Main St
Westbrook, ME 04092
Phone (207) 887-4172

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/4517c430-03bf-4e32-b324-1387cc4e73f3/

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.

NPI Registry JSON

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1043241516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 CHABOT ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924817",
            "telephone_number": "207-857-9311",
            "fax_number": "207-857-9324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 CHABOT ST",
            "city": "WESTBROOK",
            "state": "ME",
            "postal_code": "040924817",
            "telephone_number": "207-857-9311",
            "fax_number": "207-857-9324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "MIGUEL",
        "middle_name": "A.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "ME",
            "license": "1761",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "1761",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431815799",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westbrook, ME

Sources for this page

Verify at the official NPI Registry.