Active NPI
Claude R Velasco, MD
- Anatomic Pathology & Clinical Pathology Physician
- Hermitage, TN
National Provider Identifier
1124087002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician
- License
- 24503
- Practice address
- 4733 Andrew Jackson Pkwy
Hermitage, TN 37076-1365 - Phone
- (615) 574-6540
- Fax
- (615) 889-3971
- NPI assigned
- Mar 21, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 24503 | TN | Primary |
Addresses
Primary practice location
4733 Andrew Jackson Pkwy
Hermitage, TN 37076-1365
Mailing address
4733 Andrew Jackson Pkwy
Hermitage, TN 37076-1365
Phone (615) 574-6540
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3079065 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gastroenterology Center of the Midsouth PLLC | Anatomic Pathology & Clinical Pathology | Current | Accepting new patients |
| Cumberland Lung Specialists | Past | Accepting new patients | |
| Innovative Pathology Services PLLC | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| University Pathologists, P.C. | Anatomic Pathology & Clinical Pathology | Past | Accepting new patients |
| Associated Pathologists LLC | Past | Accepting new patients |
Locations
5653 Frist Blvd
Ste 530
Hermitage, TN 37076
Phone (615) 885-1110
Organizations & group practices 5
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.
-
- Gastroenterology Physician
- Germantown, TN
- NPI 1417932492
Anatomic Pathology & Clinical Pathology
-
- Clinical Medical Laboratory
- Nashville, TN
- NPI 1124075635
-
- Pulmonary Disease Physician
- Hermitage, TN
- NPI 1972799807
-
- Anatomic Pathology & Clinical Pathology Physician
- Knoxville, TN
- NPI 1700846680
-
- Anatomic Pathology & Clinical Pathology Physician
- Knoxville, TN
- NPI 1013039924
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290038400000",
"number": "1124087002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4733 ANDREW JACKSON PKWY",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370761365",
"telephone_number": "615-574-6540",
"fax_number": "615-889-3971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4733 ANDREW JACKSON PKWY",
"city": "HERMITAGE",
"state": "TN",
"postal_code": "370761365",
"telephone_number": "615-574-6540",
"fax_number": "615-889-3971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELASCO",
"first_name": "CLAUDE",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-21",
"last_updated": "2010-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "TN",
"license": "24503",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3079065",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hermitage, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.