Individual provider Active NPI

Leonardo Javier Velazquez, M.D.

  • Ophthalmology Physician
  • Palmer, MA
National Provider Identifier
1396731097
Registry record updated Jan 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
223086 Issued in MA
Practice address
1504 N Main St
Palmer, MA 01069-1215
Phone
(413) 283-3511
Fax
(413) 283-5396
NPI assigned
Sep 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 223086 MA Primary

Addresses

Primary practice location

1504 N Main St
Palmer, MA 01069-1215

Mailing address

1504 N Main St
Palmer, MA 01069-1215
Phone (413) 283-3511

Other identifiers 2

IdentifierTypeStateIssuer
7057674MedicaidRI
2100908MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050725000717 MA Practitioner - Ophthalmology 4183660855 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Puerto Rico School of Medicine, 2001
Medicare assignment
May accept Medicare assignment
Group practices
Kelly and Velazquez Eye Center PCGroup PAC ID 3274603915, 4 clinicians

Practice addresses (Care Compare)

1504 N Main St
Palmer, MA 01069-1215
Phone (413) 283-3511

Merit-based Incentive Payment System (MIPS)

Final score
91.04 of 100Reported as group
Quality
89.5
Improvement activities
40
Cost
73.55

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery361

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kelly and Velazquez Eye Center PC Ophthalmology CurrentSince Jan 3, 2017 Accepting new patients
Kelly and Velazquez Eye Center PC PastSince Jan 3, 2017 Accepting new patients
Eye Health Vision Centers, LLC PastSince Mar 8, 2011 Accepting new patients

Locations

362 Sewall St
Ludlow, MA 01056
Phone (413) 589-7308

1504 N Main St
Palmer, MA 01069
Phone (413) 283-3511

1504 N Main St
#188
Palmer, MA 01069

Organizations & group practices 3

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517270400000",
    "number": "1396731097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 N MAIN ST",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691215",
            "telephone_number": "413-283-3511",
            "fax_number": "413-284-4559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1504 N MAIN ST",
            "city": "PALMER",
            "state": "MA",
            "postal_code": "010691215",
            "telephone_number": "413-283-3511",
            "fax_number": "413-283-5396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "LEONARDO",
        "middle_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2018-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "223086",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7057674",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2100908",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmer, MA

Sources for this page

Verify at the official NPI Registry.