Organization Active NPI

Wilson L Velazquez, MD, PA

  • Pain Medicine (Anesthesiology) Physician
  • Corpus Christi, TX
National Provider Identifier
1053521641
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
WILSON L VELAZQUEZ, MD, PA
Practice address
5959 S Staples St Ste 100
Corpus Christi, TX 78413-3844
Phone
(361) 991-9300
Fax
(361) 991-9350
NPI assigned
May 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Authorized official

Name
Dr. Wilson Velazquez, MDNPI 1144385121
Title
Physician
Phone
(361) 991-9300

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

5959 S Staples St Ste 100
Corpus Christi, TX 78413-3844

Mailing address

5959 S Staples St Ste 100
Corpus Christi, TX 78413-3844
Phone (361) 991-9300

Other identifiers 2

IdentifierTypeStateIssuer
177441601MedicaidTX
00171ZOtherTXPTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050811000985 TX Part B Supplier - Clinic/Group Practice 6002845732 Receives reassigned benefits from 2 practitioners
Practice locations: Corpus Christi, TX

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

5959 S Staples St
Ste 100
Corpus Christi, TX 78413
Phone (361) 986-9514

4918 Holly Rd
Ste B
Corpus Christi, TX 78411
Phone (361) 814-7246

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/ACACBD

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754956800000",
    "number": "1053521641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 S STAPLES ST STE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133844",
            "telephone_number": "361-991-9300",
            "fax_number": "361-991-9350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 S STAPLES ST STE 100",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784133844",
            "telephone_number": "361-991-9300",
            "fax_number": "361-991-9350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILSON L VELAZQUEZ, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "WILSON",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "361-991-9300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "177441601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "00171Z",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.