Jose Carlos Velasco Di Domenico, M.D.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

T7760 Issued in TX

Practice address

2000 Pine St
Abilene, TX 79601-2434

Phone

(325) 670-6340

Fax

(833) 437-1272

NPI assigned

Oct 9, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Other identifiers 5

Other names 1

• Jose Velasco Other name

Electronic endpoints 9

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

Specialty

Hematology/Oncology

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Hendrick Provider NetworkGroup PAC ID 9739162181, 234 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hendrick Medical Center Hospital, Abilene, TX, CCN 450229
• Hendrick Medical Center Brownwood Hospital, Brownwood, TX, CCN 450587

Merit-based Incentive Payment System (MIPS)

Final score

78.51 of 100Reported as group

Quality

63.02

Promoting interoperability

100

Improvement activities

40

Cost

65.34

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jose.velasco.di.domenico.md.1@21794.direct.athenahealth.com
• Direct secure messaging: jose.velascodidomenico@cccancer.ikm.direct-ci.com

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.

• Hendrick Provider Network

  • Internal Medicine Physician
  • Abilene, TX
  • NPI 1396961322
  Medicare reassignment Care Compare group NPD
• Hendrick Provider Network

  • Rural Health Clinic/Center
  • San Saba, TX
  • NPI 1346044401
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Hendrick Medical Center

  • General Acute Care Hospital
  • Abilene, TX
  • NPI 1528064649
  Care Compare affiliation
• Hendrick Medical Center Brownwood

  • General Acute Care Hospital
  • Brownwood, TX
  • NPI 1184233785
  Care Compare affiliation

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

{
    "created_epoch": "1191888000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1376731968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012434",
            "telephone_number": "325-670-6340",
            "fax_number": "833-437-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 PINE ST",
            "city": "ABILENE",
            "state": "TX",
            "postal_code": "796012434",
            "telephone_number": "325-670-6340",
            "fax_number": "833-437-1272"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1401 W 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Emporia",
            "state": "KS",
            "postal_code": "668012570",
            "country_code": "US",
            "telephone_number": "620-342-1117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "305 W 15th St Ste 203",
            "address_purpose": "LOCATION",
            "city": "Liberal",
            "state": "KS",
            "postal_code": "679012455",
            "country_code": "US",
            "telephone_number": "620-624-4700",
            "fax_number": "888-235-3625",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "112 W Ross Blvd",
            "address_2": "Suite D",
            "address_purpose": "LOCATION",
            "city": "Dodge City",
            "state": "KS",
            "postal_code": "678017219",
            "country_code": "US",
            "telephone_number": "620-371-7200",
            "fax_number": "913-535-2055",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "410 E Spruce St",
            "address_purpose": "LOCATION",
            "city": "Garden City",
            "state": "KS",
            "postal_code": "678465659",
            "country_code": "US",
            "telephone_number": "620-272-2579",
            "fax_number": "620-272-2685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "204 Cleveland St",
            "address_purpose": "LOCATION",
            "city": "Great Bend",
            "state": "KS",
            "postal_code": "675303563",
            "country_code": "US",
            "telephone_number": "620-272-2579",
            "fax_number": "620-272-2685",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "730 Medical Center Dr",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "KS",
            "postal_code": "671148778",
            "country_code": "US",
            "telephone_number": "316-283-1141",
            "fax_number": "316-283-1162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "201 Albert Ave",
            "address_purpose": "LOCATION",
            "city": "Scott City",
            "state": "KS",
            "postal_code": "678716117",
            "country_code": "US",
            "telephone_number": "620-872-5811",
            "fax_number": "620-874-4833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELASCO DI DOMENICO",
        "first_name": "JOSE",
        "middle_name": "CARLOS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-09",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "04-37190",
            "primary": false
        },
        {
            "code": "207RH0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology",
            "state": "KS",
            "license": "04-37190",
            "primary": false
        },
        {
            "code": "207RH0002X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hospice and Palliative Medicine",
            "state": "KS",
            "license": "04-37190",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "KS",
            "license": "04-37190",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TX",
            "license": "T7760",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201099520B",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "16701016",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200587760A",
            "state": "OK"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201099520A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "KA3434005",
            "state": "KS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jose.velasco@cccancer.ikm.drect-ci.com",
            "affiliation": "N",
            "address_1": "204 Cleveland St",
            "city": "Great Bend",
            "state": "KS",
            "country_code": "US",
            "postal_code": "675303563",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jose.velasco@cccancer.ikm.drect-ci.com",
            "affiliation": "N",
            "address_1": "410 E Spruce St",
            "city": "Garden City",
            "state": "KS",
            "country_code": "US",
            "postal_code": "678465659",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jose.velasco@cccancer.ikm.drect-ci.com",
            "affiliation": "N",
            "address_1": "112 W Ross Blvd",
            "address_2": "Suite D",
            "city": "Dodge City",
            "state": "KS",
            "country_code": "US",
            "postal_code": "678017219",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jose.velasco@cccancer.ikm.drect-ci.com",
            "affiliation": "N",
            "address_1": "730 Medical Center Dr",
            "city": "Newton",
            "state": "KS",
            "country_code": "US",
            "postal_code": "671148778",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jose.velasco@cccancer.ikm.drect-ci.com",
            "affiliation": "N",
            "address_1": "1401 W 12th Ave",
            "city": "Emporia",
            "state": "KS",
            "country_code": "US",
            "postal_code": "668012570",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jose.velasco@cccancer.ikm.drect-ci.com",
            "affiliation": "N",
            "address_1": "305 W 15th St Ste 203",
            "city": "Liberal",
            "state": "KS",
            "country_code": "US",
            "postal_code": "679012455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jose.velasco@cccancer.ikm.drect-ci.com",
            "affiliation": "N",
            "address_1": "201 Albert Ave",
            "city": "Scott City",
            "state": "KS",
            "country_code": "US",
            "postal_code": "678716117",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jose.velasco@cccancer.ikm.drect-ci.com",
            "affiliation": "N",
            "address_1": "305 W 15th St Ste 203",
            "city": "Liberal",
            "state": "KS",
            "country_code": "US",
            "postal_code": "679012455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jose.velasco@cccancer.ikm.drect-ci.com",
            "affiliation": "N",
            "address_1": "305 W 15th St Ste 203",
            "city": "Liberal",
            "state": "KS",
            "country_code": "US",
            "postal_code": "679012455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "VELASCO",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Brittany Nicole Vaughan
• Christopher Allan Vaughan, FNP
• Daniel J Vaughan, M.D.
• Natalie Vaughn
• Ivanoe Jose Antonio Vega Dulanto, MD
• Criselle Domini Codog Velasco
• Stephanie D Velasquez, BCBA
• Velita Smith Home Health, Inc
• Megan Verette
• Candice Vicencio, DNP, FNP-BC

• Hematology & Oncology Physician in Abilene, TX
• Providers in Abilene, TX by specialty
• Hematology & Oncology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.

Verify at the official NPI Registry.