NPIMap

Individual provider Active NPI

Jon Karl Delgado Velasco, M.D.

  • Infectious Disease Physician
  • Bradenton, FL
National Provider Identifier
1417342817
Registry record updated Jun 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME143924 Issued in FL
Practice address
6010 Pointe West Blvd
Bradenton, FL 34209-5531
Phone
(941) 746-2711
Fax
(941) 746-3433
NPI assigned
Apr 2, 2015
Last updated
Jun 19, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Infectious Disease Physician 207RI0200X ME143924 FL Primary

Addresses

Primary practice location

6010 Pointe West Blvd
Bradenton, FL 34209-5531

Mailing address

5927 53Rd LN E
Bradenton, FL 34203-6313
Phone (817) 983-8404

Other practice location 1

3990 John R St
5 Hudson
Detroit, MI 48201-2018
Phone (313) 745-7105

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200605001581 FL Practitioner - Infectious Disease 0749536977 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Pointe West Infectious Diseases P LGroup PAC ID 1759447774, 9 clinicians

Practice addresses (Care Compare)

6010 Pointe W Blvd
Bradenton, FL 34209-5531
Phone (941) 746-2711

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue192
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Good Samaritan Hospital Physician Services, Inc CurrentSince Mar 1, 2021 Accepting new patients
Good Samaritan Hospital CurrentSince Mar 1, 2021 Accepting new patients
Pointe West Infectious Diseases P L Infectious Disease CurrentSince Jul 13, 2020 Accepting new patients
Bach & Godofsky M D P a Infectious Disease Past Accepting new patients

Locations

6010 Pointe West Blvd
Bradenton, FL 34209
Phone (941) 684-4300

1160 E Saint Clair St
Vincennes, IN 47591
Phone (812) 882-1064

520 S 7th St
Vincennes, IN 47591
Phone (812) 885-3280

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: jon.karl.velasco.1@1079.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 6

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": "1427932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592524800000",
    "number": "1417342817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5927 53RD LN E",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342036313",
            "telephone_number": "817-983-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6010 POINTE WEST BLVD",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342095531",
            "telephone_number": "941-746-2711",
            "fax_number": "941-746-3433"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3990 John R St",
            "address_2": "5 Hudson",
            "address_purpose": "LOCATION",
            "city": "Detroit",
            "state": "MI",
            "postal_code": "482012018",
            "country_code": "US",
            "telephone_number": "313-745-7105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "JON KARL",
        "middle_name": "DELGADO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-02",
        "last_updated": "2020-06-19",
        "certification_date": "2020-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME143924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bradenton, FL

Sources for this page

Verify at the official NPI Registry.