Individual provider Active NPI

Maria Christina Velasco, M.D.

  • Internal Medicine Physician
  • Victoria, TX
National Provider Identifier
1497704357
Registry record updated Mar 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K6734 Issued in TX
Practice address
601 E San Antonio St
Ste. 503W
Victoria, TX 77901-6004
Phone
(361) 575-3775
Fax
(361) 575-3742
NPI assigned
May 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K6734 TX Primary

Addresses

Primary practice location

601 E San Antonio St
Ste. 503W
Victoria, TX 77901-6004

Mailing address

601 E San Antonio St
Ste. 503W
Victoria, TX 77901-6004
Phone (361) 575-3775

Other identifiers 1

IdentifierTypeStateIssuer
096574102MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20100916000603 TX Practitioner - Internal Medicine 9830214683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Victoria Medical and Rehabilitation Associates, P.a.Group PAC ID 7517929938, 2 clinicians

Practice addresses (Care Compare)

601 E San Antonio St
Suite 503W
Victoria, TX 77901-6055
Phone (361) 575-3775

Hospital & facility affiliations

  • Texas Home Health Skilled Services Home health agency, Victoria, TX, CCN 673133
  • Citizens Medical Center Home Health Agency Home health agency, Victoria, TX, CCN 457024
  • Citizens Medical Center Hospital, Victoria, TX, CCN 450023
  • De Tar Hospital Navarro Hospital, Victoria, TX, CCN 450147
  • Jackson Healthcare Center Hospital, Edna, TX, CCN 451363
  • Yoakum Community Hospital Hospital, Yoakum, TX, CCN 451346
  • Cuero Regional Hospital Hospital, Cuero, TX, CCN 450597
  • Pam Specialty Hospital of Victoria North Long-term care hospital, Victoria, TX, CCN 452094

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
K6734TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Victoria Medical & Rehabilitation Associates, P.a. Internal Medicine CurrentSince Jul 24, 2000 Accepting new patients
Citizens Medical Center County of Victoria Past Accepting new patients

Locations

601 E San Antonio St
Ste 503W
Victoria, TX 77901
Phone (361) 575-3775

Interoperability endpoints

  • Direct secure messaging: maria.velasco.1@32128.direct.athenahealth.com

Organizations & group practices 2

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 9

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": "1147132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1267574400000",
    "number": "1497704357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 E SAN ANTONIO ST",
            "address_2": "STE. 503W",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016004",
            "telephone_number": "361-575-3775",
            "fax_number": "361-575-3742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 E SAN ANTONIO ST",
            "address_2": "STE. 503W",
            "city": "VICTORIA",
            "state": "TX",
            "postal_code": "779016004",
            "telephone_number": "361-575-3775",
            "fax_number": "361-575-3742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "MARIA",
        "middle_name": "CHRISTINA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-09",
        "last_updated": "2010-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K6734",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "096574102",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Victoria, TX

Sources for this page

Verify at the official NPI Registry.