Individual provider Active NPI

Skarlet W Patino-Velasquez, M.D.

  • Interventional Cardiology Physician
  • Woodbridge, VA
National Provider Identifier
1124419916
Registry record updated May 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
0101277163 Issued in VA
Practice address
2022 Opitz Blvd Ste B
Woodbridge, VA 22191-3323
Phone
(571) 398-2341
Fax
(571) 398-6388
NPI assigned
Feb 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 30, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 19350 PR
Cardiovascular Disease Physician 207RC0000X 19350 PR
Student in an Organized Health Care Education/Training Program 390200000X 19350 PR
Interventional Cardiology Physician 207RI0011X 0101277163 VA Primary

Addresses

Primary practice location

2022 Opitz Blvd Ste B
Woodbridge, VA 22191-3323

Mailing address

2022 Opitz Blvd Ste B
Woodbridge, VA 22191-3323
Phone (571) 398-2341

Other practice location 1

8640 Sudley Rd Ste 302
Manassas, VA 20110-4404
Phone (703) 369-5959

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221221002017 VA Practitioner - Interventional Cardiology 6709285547 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Uva Community Health Medical Group LLC 339 clinicians

Practice addresses (Care Compare)

8640 Sudley Rd
Suite 302
Manassas, VA 20110-4404
Phone (703) 369-5959

Hospital & facility affiliations

  • Uva Health Prince William Medical Center Hospital, Manassas, VA, CCN 490045
  • Uva Health Haymarket Medical Center Hospital, Haymarket, VA, CCN 490144
  • University of Virginia Medical Center Hospital, Charlottesville, VA, CCN 490009
  • Fauquier Hospital Hospital, Warrenton, VA, CCN 490023
  • Uva Health Culpeper Medical Center Hospital, Culpeper, VA, CCN 490019

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
19350PRMDInternal Medicine Physician
0101277163VAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Polaris Heart & Vascular PLLC Cardiovascular Disease CurrentSince Jan 1, 2023 Accepting new patients
Uva Community Health Medical Group, LLC CurrentSince Mar 24, 2025 Accepting new patients
Uva Community Health Medical Group, LLC Past Accepting new patients

Locations

4105 Lewis and Clark Dr
Charlottesvle, VA 22911

15195 Heathcote Blvd
Ste 338
Haymarket, VA 20169
Phone (571) 261-3270

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

8640 Sudley Rd
Ste 302
Manassas, VA 20110
Phone (703) 369-5959

2022 Opitz Blvd
Ste Ab
Woodbridge, VA 22191
Phone (571) 398-2341

2022 Opitz Blvd
Ste B
Woodbridge, VA 22191
Phone (571) 398-2341

Interoperability endpoints

  • Direct secure messaging: spatinovelasquez665937@direct.healthsystem.virginia.edu

Organizations & group practices 4

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.

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": "1423958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1124419916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 OPITZ BLVD STE B",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913323",
            "telephone_number": "571-398-2341",
            "fax_number": "571-398-6388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2022 OPITZ BLVD STE B",
            "city": "WOODBRIDGE",
            "state": "VA",
            "postal_code": "221913323",
            "telephone_number": "571-398-2341",
            "fax_number": "571-398-6388"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8640 Sudley Rd Ste 302",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201104404",
            "country_code": "US",
            "telephone_number": "703-369-5959",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PATINO-VELASQUEZ",
        "first_name": "SKARLET",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-02-15",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PR",
            "license": "19350",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PR",
            "license": "19350",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "PR",
            "license": "19350",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "VA",
            "license": "0101277163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbridge, VA

Sources for this page

Verify at the official NPI Registry.