Individual provider Active NPI

Ryan Velasquez

  • Family Nurse Practitioner
  • San Antonio, TX
National Provider Identifier
1063262657
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
1155336 Issued in TX
Practice address
127 Lewis St
San Antonio, TX 78212-5539
Phone
(210) 600-5864
Fax
(210) 817-4433
NPI assigned
Mar 25, 2024
Last updated
Mar 12, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 1155336 TX Primary

Addresses

Primary practice location

127 Lewis St
San Antonio, TX 78212-5539

Mailing address

PO Box 780421
San Antonio, TX 78278-0421
Phone (210) 600-5864

Other practice location 1

417 S King St
Seguin, TX 78155-5838
Phone (210) 600-5864

Other practice location 2

545 Creekside Xing Ste 206
New Braunfels, TX 78130-4565
Phone (210) 600-5864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241101000219 TX Practitioner - Nurse Practitioner 1153854963 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pulmonary and Critical Care Associates of San AntonioGroup PAC ID 3779977582, 4 clinicians
Total MD Physicians Group, PLLCGroup PAC ID 7012313521, 127 clinicians

Practice addresses (Care Compare)

127 Lewis St
San Antonio, TX 78212-5539
Phone (210) 600-5864

272 FM
306 Suite 116
New Braunfels, TX 78130-5490
Phone (830) 310-6812

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
1155336TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pulmonary and Critical Care Associates of San Antonio CurrentSince Sep 1, 2024 Accepting new patients
Palla Rivi de Silva PLLC CurrentSince Dec 8, 2024 Accepting new patients
Total MD Physicians Group, PLLC CurrentSince Nov 1, 2025 Accepting new patients

Locations

4301 W William Cannon Dr
#300
Austin, TX 78749
Phone (512) 222-8868

8300 N Lamar Blvd
Ste 200A
Austin, TX 78753
Phone (512) 575-9555

272 FM 306
Ste 116
New Braunfels, TX 78130
Phone (830) 310-6812

545 Creekside Xing
Ste 206
New Braunfels, TX 78130
Phone (210) 656-5098

603 Louis Henna Blvd
Ste B140
Round Rock, TX 78664
Phone (512) 200-2269

127 Lewis St
San Antonio, TX 78212

8715 Village Dr
Ste 612
San Antonio, TX 78217
Phone (210) 602-2862

417 S King St
Seguin, TX 78155
Phone (830) 484-4600

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 5

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": "1711324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741737600000",
    "number": "1063262657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 780421",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782780421",
            "telephone_number": "210-600-5864",
            "fax_number": "210-817-4433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 LEWIS ST",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782125539",
            "telephone_number": "210-600-5864",
            "fax_number": "210-817-4433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "417 S King St",
            "address_purpose": "LOCATION",
            "city": "Seguin",
            "state": "TX",
            "postal_code": "781555838",
            "country_code": "US",
            "telephone_number": "210-600-5864",
            "fax_number": "210-817-4433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "545 Creekside Xing Ste 206",
            "address_purpose": "LOCATION",
            "city": "New Braunfels",
            "state": "TX",
            "postal_code": "781304565",
            "country_code": "US",
            "telephone_number": "210-600-5864",
            "fax_number": "210-817-4433",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "RYAN",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-03-25",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "1155336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.