Individual provider Active NPI

Omaida C Velazquez, MD

  • Vascular Surgery Physician
  • Miami, FL
National Provider Identifier
1447287735
Registry record updated Jan 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
ME100087 Issued in FL
Practice address
1611 NW 12TH Ave FL CTR4
Miami, FL 33136-1005
Phone
(305) 585-6000
Fax
(305) 585-8569
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD054213L PA
Vascular Surgery Physician 2086S0129X ME100087 FL Primary

Addresses

Primary practice location

1611 NW 12TH Ave FL CTR4
Miami, FL 33136-1005

Mailing address

1611 NW 12TH Ave FL CTR4
Miami, FL 33136-1005
Phone (305) 585-6000

Other identifiers 2

IdentifierTypeStateIssuer
0017492560001MedicaidPA
2798522-00MedicaidFL

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
I20071217000786 FL Practitioner - Vascular Surgery 9931197159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Rutgers New Jersey Medical School, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
University of MiamiGroup PAC ID 3274795109, 2,346 clinicians

Practice addresses (Care Compare)

1400 NW 12TH Ave
Miami, FL 33136-1003

1400 NW 12TH Ave 1St FL
Miami, FL 33136-1003

1400 NW 12TH Ave 1St FLR
Umhc Uhealth Tower
Miami, FL 33136-1003

1400 NW 12TH Ave 1St FLR Gi Ctr
Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 243-4598

1400 NW 12TH Ave 5TH FLR Sicu
Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 355-5241

1400 NW 12TH Ave E
Miami, FL 33136-1003

1400 NW 12TH Ave E BLDG 4TH FLR
Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 689-5437

1400 NW 12TH Ave East
5 Reproductive Endocrinology and Fertility Ce
Miami, FL 33136-1003
Phone (305) 243-3371

1400 NW 12TH Ave ENT-7
University of Miami Hospital
Miami, FL 33136-1003
Phone (305) 355-1684

1400 NW 12TH Ave Hematology Consult
Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 689-2023

1400 NW 12TH Ave ICU
Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 243-0783

1400 NW 12TH Ave Mob
Ste3 Umhc Uhealth Tower
Miami, FL 33136-1003
Phone (305) 243-2020

1400 NW 12TH Ave RM
2064 University of Miami Hospital
Miami, FL 33136-1003
Phone (954) 210-1095

1601 NW 12TH Ave
Miami, FL 33136-1005

1601 NW 12TH Ave 1St FL
Miami, FL 33136-1005

1601 NW 12TH Ave 1St FLR
Miami, FL 33136-1005

1601 NW 12TH Ave Room
2060 MCCD
Miami, FL 33136-1005
Phone (305) 585-5635

1601 NW 12TH Avenue 5065 /
5TH Mailman Center for Child Development
Miami, FL 33136-1005
Phone (305) 243-6251

1611 NW 12 Ave
Miami, FL 33136-1005

1611 NW 12 TH Ave
Jackson Memorial Hospital
Miami, FL 33136-1005
Phone (305) 355-5000

1611 NW 12TH
3B Jackson Memorial Hospital Acc West
Miami, FL 33136-1005
Phone (305) 585-7476

1611 NW 12TH Ave 2ND FL
Miami, FL 33136-1005

1611 NW 12TH Ave 2ND FLR
Miami, FL 33136-1005

1611 NW 12TH Ave 5TH Floor
Acc Clinic West JMH
Miami, FL 33136-1005
Phone (305) 243-4211

1611 NW 12TH Ave Acc E
Miami, FL 33136-1005

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME100087FLMDVascular Surgery Physician
MD054213LPAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Miami Current Accepting new patients
University of Miami CurrentSince Jan 1, 2020 Accepting new patients
University of Miami Past Accepting new patients

Locations

4800 NE 20th Ter
Ste 201
Ft Lauderdale, FL 33308
Phone (305) 892-4000

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1475 NW 12th Ave
Fl 1
Miami, FL 33136
Phone (305) 243-6605

1321 NW 14th St
Ste 600
Miami, FL 33125
Phone (305) 547-2534

1611 NW 12th Ave
Fl CTR4
Miami, FL 33136

1611 NW 12th Ave
Fl 4
Miami, FL 33136
Phone (305) 243-2424

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: ovelazquez6092@direct.med.miami.edu

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.

Hospital & facility affiliations 24

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

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390262400000",
    "number": "1447287735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE FL CTR4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-6000",
            "fax_number": "305-585-8569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1611 NW 12TH AVE FL CTR4",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331361005",
            "telephone_number": "305-585-6000",
            "fax_number": "305-585-8569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "OMAIDA",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2014-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD054213L",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "FL",
            "license": "ME100087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0017492560001",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2798522-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.