Individual provider Active NPI

Vanessa Velazquez Ruiz, MD

  • Emergency Medicine Physician
  • Pinellas Park, FL
National Provider Identifier
1467646554
Registry record updated Mar 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
ME117349 Issued in FL
Practice address
3070 Grand Ave
Pinellas Park, FL 33782-6149
Phone
(727) 553-7300
NPI assigned
Aug 31, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 22, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 257897 NY
Emergency Medicine Physician 207P00000X 11753 I PR
Emergency Medicine Physician 207P00000X ME117349 FL Primary

Addresses

Primary practice location

3070 Grand Ave
Pinellas Park, FL 33782-6149

Mailing address

3070 Grand Ave
Pinellas Park, FL 33782-6149

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
I20140131000411 FL Practitioner - Emergency Medicine 3779777685 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Puerto Rico School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Physicians of St Petersburg PAGroup PAC ID 1658433883, 18 clinicians

Practice addresses (Care Compare)

701 6TH St S
St Petersburg, FL 33701-4814
Phone (727) 553-7300

Hospital & facility affiliations

  • Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11753 IPRMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Physicians of Crossroads Emergency Medicine CurrentSince Aug 27, 2023 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Emergency Physicians of St Petersburg PA Emergency Medicine CurrentSince Oct 4, 2023 Accepting new patients
Observation Medical Group LLC Emergency Medicine CurrentSince Apr 1, 2016 Accepting new patients
Emergency Medical Associates of Tampa Bay, LLC Emergency Medicine CurrentSince Oct 11, 2014 Accepting new patients
Observation Medical Group LLC Emergency Medicine CurrentSince Apr 1, 2016 Accepting new patients
Emergency Physicians of Pinellas PA Emergency Medicine CurrentSince Mar 6, 2019 Accepting new patients
Slrhc Faculty Practice Emergency Medicine Past Accepting new patients

Locations

4211 Van Dyke Rd
Lutz, FL 33558
Phone (813) 265-6300

3070 Grand Ave
Pinellas Park, FL 33782
Phone (727) 553-7300

701 6th St S
St Petersburg, FL 33701
Phone (727) 450-1144

1800 66th St N
St Petersburg, FL 33710
Phone (727) 823-1234

2502 W Saint Isabel St
Tampa, FL 33607
Phone (813) 874-5707

3001 W Mlk Blvd
Tampa, FL 33607
Phone (813) 361-6778

Interoperability endpoints

  • Direct secure messaging: vvelazquezruiz188911@orlandohealth.medalliesdirect.net

Organizations & group practices 8

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 1

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": "1188518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553212800000",
    "number": "1467646554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 GRAND AVE",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337826149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 GRAND AVE",
            "city": "PINELLAS PARK",
            "state": "FL",
            "postal_code": "337826149",
            "telephone_number": "727-553-7300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ RUIZ",
        "first_name": "VANESSA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-08-31",
        "last_updated": "2019-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NY",
            "license": "257897",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PR",
            "license": "11753 I",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME117349",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinellas Park, FL

Sources for this page

Verify at the official NPI Registry.