Individual provider Active NPI

Roger Allen Velasquez, M.D.

  • Ophthalmology Physician
  • San Antonio, TX
National Provider Identifier
1205154895
Registry record updated Sep 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
P9481 Issued in TX
Practice address
6810 West Ave
Unit a
San Antonio, TX 78213-1817
Phone
(210) 983-3937
NPI assigned
May 7, 2010
Last updated
Sep 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 18, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X P9481 TX Primary
Glaucoma Specialist (Ophthalmology) Physician 207WX0009X P4981 TX

Addresses

Primary practice location

6810 West Ave
Unit a
San Antonio, TX 78213-1817

Mailing address

6810 West Ave
Ste a
San Antonio, TX 78213-1817
Phone (210) 450-9400

Other identifiers 1

IdentifierTypeStateIssuer
336193305MedicaidTX

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140718001901 TX Practitioner - Ophthalmology 8921224478 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Texas Medical School at San Antonio, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6810 W Ave
Suite a
San Antonio, TX 78213-2612
Phone (210) 983-3937

Merit-based Incentive Payment System (MIPS)

Final score
73.75 of 100Reported as individual
Quality
90.55
Improvement activities
40
Cost
25.09

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery185

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P9481TXMDOphthalmology Physician
P4981TXMDGlaucoma Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roger a Velasquez MD MPH PLLC Glaucoma Specialist CurrentSince Jun 7, 2018 Accepting new patients

Locations

6810 West Ave
Ste A
San Antonio, TX 78213
Phone (210) 496-9992

6810 West Ave
Unit A
San Antonio, TX 78213
Phone (210) 415-6931

Interoperability endpoints

  • Direct secure messaging: rvelasquez@rvmdeyes.direct.eyemdemr.com

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1273190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726617600000",
    "number": "1205154895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6810 WEST AVE",
            "address_2": "STE A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131817",
            "telephone_number": "210-450-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6810 WEST AVE",
            "address_2": "UNIT A",
            "city": "SAN ANTONIO",
            "state": "TX",
            "postal_code": "782131817",
            "telephone_number": "210-983-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "ROGER",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-05-07",
        "last_updated": "2024-09-18",
        "certification_date": "2024-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "TX",
            "license": "P9481",
            "primary": true
        },
        {
            "code": "207WX0009X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Glaucoma Specialist",
            "state": "TX",
            "license": "P4981",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "336193305",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Antonio, TX

Sources for this page

Verify at the official NPI Registry.