Individual provider Active NPI

Octavio Juan Perez-Velasco, MD

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1205809233
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME81174 Issued in FL
Practice address
8326 N Florida Ave
Tampa, FL 33604-3006
Phone
(656) 207-7275
Fax
(813) 559-6454
NPI assigned
Feb 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME81174 FL Primary

Addresses

Primary practice location

8326 N Florida Ave
Tampa, FL 33604-3006

Mailing address

1312 W Fletcher Ave
Suite a
Tampa, FL 33612-3366
Phone (813) 964-0595

Other practice location 1

1312 W Fletcher Ave
Suite A
Tampa, FL 33612-3366
Phone (813) 964-0595

Other identifiers 7

IdentifierTypeStateIssuer
51903OtherFLBCBS
5495696OtherFLAETNA
P00027558OtherFLRAILROAD MEDICARE
ME81174OtherFLMEDICAL LICENSE
10636201OtherFLCITRUS
5903996OtherFLGHI
37439OtherFLAMERIGROUP

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address octavio.perez-velasco.2@29601.direct.athenahealth.com
Direct Messaging Address octavio.perez-velasco.1@29601.direct.athenahealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20120627000066 FL Practitioner - Family Practice 0446415335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Conviva Medical Center Management, LLCGroup PAC ID 4284717422, 507 clinicians

Practice addresses (Care Compare)

8326 N Florida Ave
Tampa, FL 33604-3006
Phone (863) 619-5999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME81174FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Conviva Medical Center Management LLC Family Medicine CurrentSince Jan 5, 2026 Accepting new patients
Family Medical Centers of Tampa Bay PA Family Medicine PastSince Aug 7, 2012 Accepting new patients

Locations

5238 Norwood Ave
#16
Jacksonville, FL 32208
Phone (904) 265-2050

8326 N Florida Ave
Tampa, FL 33604
Phone (813) 820-5400

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: octavio.perez-velasco.2@29601.direct.athenahealth.com
  • Direct secure messaging: octavio.perez-velasco.1@29601.direct.athenahealth.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774396800000",
    "number": "1205809233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 W FLETCHER AVE",
            "address_2": "SUITE A",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336123366",
            "telephone_number": "813-964-0595",
            "fax_number": "813-963-5071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8326 N FLORIDA AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336043006",
            "telephone_number": "656-207-7275",
            "fax_number": "813-559-6454"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1312 W Fletcher Ave",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336123366",
            "country_code": "US",
            "telephone_number": "813-964-0595",
            "fax_number": "813-963-5071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ-VELASCO",
        "first_name": "OCTAVIO",
        "middle_name": "JUAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-09",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME81174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "51903",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5495696",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00027558",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME81174",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CITRUS",
            "identifier": "10636201",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "5903996",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "37439",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "octavio.perez-velasco.2@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "octavio.perez-velasco.2@29601.direct.athenahealth.com",
            "address_1": "8326 N Florida Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336043006",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "octavio.perez-velasco.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "endpointDescription": "octavio.perez-velasco.1@29601.direct.athenahealth.com",
            "address_1": "8326 N Florida Ave",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336043006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.