Individual provider Active NPI

Romel Efrain Velastegui, M.D.

  • Specialist
  • Carmichael, CA
National Provider Identifier
1457301608
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A82687 Issued in CA
Practice address
6620 Coyle Ave Ste 102
Carmichael, CA 95608-6336
Phone
(916) 966-0320
Fax
(916) 966-6598
NPI assigned
May 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X A82687 CA Primary

Addresses

Primary practice location

6620 Coyle Ave Ste 102
Carmichael, CA 95608-6336

Mailing address

6620 Coyle Ave Ste 102
Carmichael, CA 95608-6336
Phone (916) 966-0320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20040128000888 CA Practitioner - Vascular SurgeryPractitioner - General Surgery 7214830264 Reassigns benefits to 1 organization
Practice locations: Carmichael, CA; Rancho Cordova, CA

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

6401 Coyle Ave
Suite 311
Carmichael, CA 95608-0310
Phone (916) 966-0320

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.29 of 100Reported as group
Quality
84.17
Promoting interoperability
83
Improvement activities
40
Cost
67.63

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)23

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rev Vascular Inc CurrentSince Feb 2, 2009 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Metropolitan Anesthesia Consultants, Inc Past Accepting new patients
Dignity Health Past Accepting new patients
Adrian Ara Sarchisian DDS Inc Past Accepting new patients
Emergency and Acute Care Medical Corporation PastSince Jan 14, 2024 Accepting new patients

Locations

6620 Coyle Ave
Ste 102
Carmichael, CA 95608
Phone (916) 965-8161

6501 Coyle Ave
Carmichael, CA 95608
Phone (916) 537-5000

6401 Coyle Ave
Ste 311
Carmichael, CA 95608
Phone (916) 966-0320

6620 Coyle Ave
Ste 414
Carmichael, CA 95608
Phone (916) 961-7391

2893 Sunrise Blvd
Ste 103
Rancho Cordova, CA 95742
Phone (818) 616-4426

Interoperability endpoints

  • Direct secure messaging: rvelastegui26278@hpmg.direct-ci.net

Organizations & group practices 6

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 2

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1457301608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6620 COYLE AVE STE 102",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086336",
            "telephone_number": "916-966-0320",
            "fax_number": "916-996-6598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6620 COYLE AVE STE 102",
            "city": "CARMICHAEL",
            "state": "CA",
            "postal_code": "956086336",
            "telephone_number": "916-966-0320",
            "fax_number": "916-966-6598"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASTEGUI",
        "first_name": "ROMEL",
        "middle_name": "EFRAIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A82687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carmichael, CA

Sources for this page

Verify at the official NPI Registry.