Individual provider Active NPI

Victor Domingo Velazquez Jr., CAA

  • Anesthesiologist Assistant
  • Greenwood Village, CO
National Provider Identifier
1477377356
Registry record updated Jun 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiologist AssistantTaxonomy code 367H00000X
License
ANT.0000287 Issued in CO
Practice address
8000 E Maplewood Ave Ste 120
Greenwood Village, CO 80111-4766
Phone
(303) 438-3999
Fax
(720) 439-9500
NPI assigned
Nov 8, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiologist Assistant 367H00000X WI
Anesthesiologist Assistant 367H00000X ANT.0000287 CO Primary

Addresses

Primary practice location

8000 E Maplewood Ave Ste 120
Greenwood Village, CO 80111-4766

Mailing address

PO Box 840862
Dallas, TX 75284-0862
Phone (303) 377-7638

Other practice location 1

9200 W Wisconsin Ave
Milwaukee, WI 53226-3522
Phone (414) 777-7700

Other identifiers 1

IdentifierTypeStateIssuer
1477377356MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, CO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20250107003168 WI Practitioner - Anesthesiology Assistant 6608304407 Reassigns benefits to 1 organization
I20250716000493 CO Practitioner - Anesthesiology Assistant 6608304407 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
US Anesthesia Partners of Colorado IncGroup PAC ID 6002072055, 472 clinicians
The Medical College of Wisconsin IncGroup PAC ID 2668384371, 2,092 clinicians

Practice addresses (Care Compare)

2350 Meadows Blvd
Castle Rock, CO 80109-8405
Phone (303) 438-3999

8701 W Watertown Plank
Milwaukee, WI 53226-3548
Phone (414) 805-3666

8701 Watertown Plank Rd
Room 4041 MFRC
Milwaukee, WI 53226-3548
Phone (414) 805-3666

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Associate of Arts

State licenses

LicenseStateTypeSpecialty
ANT.0000287COMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
US Anesthesia Partners of Kansas PA CurrentSince Jun 15, 2025 Accepting new patients
US Anesthesia Partners of Colorado Inc. Anesthesiologist Assistant CurrentSince Jun 25, 2025 Accepting new patients
The Medical College of Wisconsin, Inc. CurrentSince Jan 1, 2025 Accepting new patients

Locations

2350 Meadows Blvd
Castle Rock, CO 80109
Phone (720) 248-3413

8000 E Maplewood Ave
Ste 120
Greenwood Village, CO 80111

10101 Ridgegate Pkwy
Lone Tree, CO 80124
Phone (720) 225-1000

12222 Merit Dr
Ste 600
Dallas, TX 75251
Phone (972) 361-1844

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

10000 W Innovation Dr
Ste 300
Wauwatosa, WI 53226

9200 W Wisconsin Ave
Wauwatosa, WI 53226
Phone (414) 259-3000

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 3

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": "1731024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749686400000",
    "number": "1477377356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 840862",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752840862",
            "telephone_number": "303-377-7638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8000 E MAPLEWOOD AVE STE 120",
            "city": "GREENWOOD VILLAGE",
            "state": "CO",
            "postal_code": "801114766",
            "telephone_number": "303-438-3999",
            "fax_number": "720-439-9500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9200 W Wisconsin Ave",
            "address_purpose": "LOCATION",
            "city": "Milwaukee",
            "state": "WI",
            "postal_code": "532263522",
            "country_code": "US",
            "telephone_number": "414-777-7700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "VICTOR",
        "middle_name": "DOMINGO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "CAA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-11-08",
        "last_updated": "2025-06-12",
        "certification_date": "2025-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "WI",
            "license": null,
            "primary": false
        },
        {
            "code": "367H00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiologist Assistant",
            "state": "CO",
            "license": "ANT.0000287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477377356",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood Village, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.