Active NPI
Luis Antonio Martinez-Velazquez, MD, PHD
- Ophthalmology Physician
- Boston, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 1014693
- Practice address
- 243 Charles St
Boston, MA 02114-3096 - Phone
- (617) 573-3288
- NPI assigned
- Apr 9, 2019
- Last updated
- Jun 29, 2023
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 1014693 | MA | Primary |
Addresses
Primary practice location
243 Charles St
Boston, MA 02114-3096
Mailing address
243 Charles St
Boston, MA 02114-3096
Phone (617) 573-3288
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, CT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
191 Main St
Manchester, CT 06042-3556
Phone (860) 646-7704
243 Charles St
Boston, MA 02114-3002
Phone (617) 523-7900
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1014693 | MA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Retina Consultants PC | Ophthalmology | Current | Accepting new patients |
| Massachusetts Eye and Ear Associates, Inc. | Ophthalmology | Current | Accepting new patients |
| Massachusetts Eye and Ear Associates, Inc. | Ophthalmology | Past | Accepting new patients |
Locations
80 Shunpike Rd
Unit 101
Cromwell, CT 06416
Phone (203) 293-7293
5 Two Mile Rd
Farmington, CT 06032
Phone (860) 409-7800
43 Woodland St
Ste 100
Hartford, CT 06105
Phone (860) 527-9020
191 Main St
Manchester, CT 06042
Phone (860) 643-7973
243 Charles St
Boston, MA 02114
Phone (617) 523-7900
300 Crown Colony Dr
Ste 201
Quincy, MA 02169
Phone (617) 573-3135
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/FCEACA
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ophthalmology Physician
- Boston, MA
- NPI 1932574332
-
- Ophthalmology Physician
- Manchester, CT
- NPI 1093748071
-
- Pediatrics Physician
- Hartford, CT
- NPI 1669448882
-
- Ophthalmology Physician
- Providence, RI
- NPI 1598160095
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boston, MA
- NPI 1639101751
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1770696643
-
- General Acute Care Hospital
- Hartford, CT
- NPI 1902834880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687996800000",
"number": "1164985933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 CHARLES ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021143096",
"telephone_number": "617-573-3288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "243 CHARLES ST",
"city": "BOSTON",
"state": "MA",
"postal_code": "021143096",
"telephone_number": "617-573-3288"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARTINEZ-VELAZQUEZ",
"first_name": "LUIS",
"middle_name": "ANTONIO",
"credential": "MD, PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-09",
"last_updated": "2023-06-29",
"certification_date": "2023-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MA",
"license": "1014693",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boston, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.