NPIMap

Individual provider Active NPI

Jeff Velez, M.D.

  • Diagnostic Radiology Physician
  • Medford, MA
National Provider Identifier
1174765234
Registry record updated Apr 3, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
225947 Issued in MA
Practice address
64 Buzzells LN
Medford, MA 02155-5932
Phone
(617) 447-4406
NPI assigned
Apr 3, 2009
Last updated
Apr 3, 2009By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 3, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 225947 MA Primary

Addresses

Primary practice location

64 Buzzells LN
Medford, MA 02155-5932

Mailing address

64 Buzzells LN
Medford, MA 02155-5932
Phone (617) 447-4406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100816000289 MA Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 3779617535 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Harvard Medical School, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emerson Practice Associates, IncGroup PAC ID 8123188117, 247 clinicians
North Bridge Imaging Group, LLCGroup PAC ID 3577451178, 16 clinicians

Practice addresses (Care Compare)

133 Old Rd to 9 Acre Cor
Concord, MA 01742-4159
Phone (978) 287-3020

133 Old Rd to Nine Acre Corner
Mary Beth Misserville
Concord, MA 01742-4159

38 Highland CMN E
Hudson, MA 01749-2047
Phone (978) 287-8990

830 Constitution Ave
Littleton, MA 01460-1137
Phone (978) 287-8990

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225947MAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gbgastro LLC CurrentSince Jan 1, 2019 Accepting new patients
North Bridge Imaging Group, LLC CurrentSince Jul 1, 2022 Accepting new patients
Metrowest Imaging Center LLC CurrentSince Nov 14, 2019 Accepting new patients
Greater Boston Gastroenterology CurrentSince Feb 1, 2018 Accepting new patients
Harvard Medical Faculty Physicians at Beth Israel Deaconess Medical Ce Diagnostic Radiology CurrentSince Aug 23, 2011 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Aug 23, 2011 Accepting new patients
North Bridge Imaging Group, LLC CurrentSince Jul 1, 2022 Accepting new patients
Emerson Practice Associates, Inc. CurrentSince Oct 1, 2022 Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

115 Lincoln St
Framingham, MA 01702
Phone (508) 383-1000

475 Franklin St
Ste 110
Framingham, MA 01702
Phone (508) 620-9200

321 Fortune Blvd
Milford, MA 01757
Phone (508) 478-5996

10 Little Brook Rd
West Wareham, MA 02576

Organizations & group practices 9

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 4

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": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238716800000",
    "number": "1174765234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 BUZZELLS LN",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555932",
            "telephone_number": "617-447-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "64 BUZZELLS LN",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021555932",
            "telephone_number": "617-447-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "JEFF",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "225947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, MA

Sources for this page

Verify at the official NPI Registry.