Individual provider Active NPI

Maximiliano Velasco, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Miami, FL
National Provider Identifier
1205979515
Registry record updated Jul 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
ME95957 Issued in FL
Practice address
10095 N Kendall Dr Ste 103
Miami, FL 33176
Phone
(786) 504-0904
Fax
(786) 504-0899
NPI assigned
Feb 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 24, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X ME95957 FL Primary

Addresses

Primary practice location

10095 N Kendall Dr Ste 103
Miami, FL 33176

Mailing address

PO Box 430885
South Miami, FL 33243-0885
Phone (786) 456-4107

Other practice location 1

10101 S Dixie Hwy
Miami, FL 33156-3146
Phone (786) 504-0904

Other practice location 2

925 NE 30th Ter Ste 318
Homestead, FL 33033-7602
Phone (786) 504-0904

Other identifiers 1

IdentifierTypeStateIssuer
316159OtherFLAVMED

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
I20070808000453 FL Practitioner - AnesthesiologyPractitioner - Interventional Pain ManagementPractitioner - Pain Management 2365533148 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Interventional Pain Management, Pain Management
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consultants in Neurological Surgery LLPGroup PAC ID 8325114986, 6 clinicians
Rehabclinics Pta IncGroup PAC ID 0547237497, shared by 11 NPIs, 209 clinicians

Practice addresses (Care Compare)

10095 SW 88TH St
Miami, FL 33176-1797
Phone (786) 456-4107

13645 Biscayne Blvd
North Miami Beach, FL 33181-1617
Phone (305) 949-2700

3663 S Miami Ave
Miami, FL 33133-4253
Phone (305) 854-4400

925 NE 30TH Ter
318 Maximiliano Velasco MD
Homestead, FL 33033-7602
Phone (786) 456-4107

Hospital & facility affiliations

  • Homestead Hospital Hospital, Homestead, FL, CCN 100125
  • South Miami Hospital Hospital, Miami, FL, CCN 100154
  • Doctors Hospital Hospital, Coral Gables, FL, CCN 100296
  • Mariners Hospital Hospital, Tavernier, FL, CCN 101313

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Consultants in Neurological Surgery LLP Pain Medicine CurrentSince Jul 1, 2015 Accepting new patients

Locations

925 NE 30th Ter
Ste 318
Homestead, FL 33033
Phone (305) 595-4041

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

10095 SW 88th St
Ste 103
Miami, FL 33176
Phone (305) 274-4351

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

10101 S Dixie Hwy
Pinecrest, FL 33156
Phone (305) 370-3439

7000 SW 62nd Ave
Ste 535
South Miami, FL 33143
Phone (786) 268-4044

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 and National Provider Directory roles.

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": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532390400000",
    "number": "1205979515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430885",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "332430885",
            "telephone_number": "786-456-4107",
            "fax_number": "786-376-8908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10095 N KENDALL DR STE 103",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33176",
            "telephone_number": "786-504-0904",
            "fax_number": "786-504-0899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10101 S Dixie Hwy",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331563146",
            "country_code": "US",
            "telephone_number": "786-504-0904",
            "fax_number": "786-504-0899",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "925 NE 30th Ter Ste 318",
            "address_purpose": "LOCATION",
            "city": "Homestead",
            "state": "FL",
            "postal_code": "330337602",
            "country_code": "US",
            "telephone_number": "786-504-0904",
            "fax_number": "786-504-0899",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "MAXIMILIANO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2018-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME95957",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "316159",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.