NPIMap

Individual provider Active NPI

Gretchen Yazmine Velazquez, MD

  • Internal Medicine Physician
  • High Point, NC
National Provider Identifier
1528094844
Registry record updated May 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2003-00101 Issued in NC
Practice address
4510 Premier Dr
Suite 101
High Point, NC 27265-8349
Phone
(336) 905-6333
Fax
(336) 905-6334
NPI assigned
Jun 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2017

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 2003-00101 NC Primary

Addresses

Primary practice location

4510 Premier Dr
Suite 101
High Point, NC 27265-8349

Mailing address

4510 Premier Dr
Suite 101
High Point, NC 27265-8349
Phone (336) 905-6333

Other identifiers 3

IdentifierTypeStateIssuer
1212660010OtherDME
89137K8MedicaidNC
P00154395OtherNCRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040830000592 NC Practitioner - Internal Medicine 1456326867 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Medical School at San Antonio, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians

Practice addresses (Care Compare)

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

  • Adoration Home Health Home health agency, High Point, NC, CCN 347125
  • Amedisys Home Health Care Home health agency, Thomasville, NC, CCN 347094
  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047
  • High Point Regional Health System Hospital, High Point, NC, CCN 340004
  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2003-00101NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
High Point Regional Health Internal Medicine CurrentSince Oct 1, 2007 Accepting new patients
High Point Regional Health CurrentSince Oct 1, 2007 Accepting new patients
High Point Regional Health Current Accepting new patients
Wake Forest Health Network, LLC CurrentSince Sep 1, 2004 Accepting new patients
Wake Forest Health Network LLC Internal Medicine CurrentSince Sep 1, 2004 Accepting new patients
Wake Forest University Health Sciences CurrentSince Sep 1, 2018 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients

Locations

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

1208 Eastchester Dr
Ste 108
High Point, NC 27265
Phone (336) 878-6644

601 N Elm St
High Point, NC 27262
Phone (336) 878-6419

4510 Premier Dr
Ste 101
High Point, NC 27265
Phone (336) 802-2210

4515 Premier Dr
Ste 204
High Point, NC 27265
Phone (336) 802-2015

604 W Main St
Jamestown, NC 27282
Phone (336) 454-1166

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Interoperability endpoints

  • Direct secure messaging: gvelazquez2754249@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 7

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": "1151280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494460800000",
    "number": "1528094844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4510 PREMIER DR",
            "address_2": "SUITE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658349",
            "telephone_number": "336-905-6333",
            "fax_number": "336-905-6334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 PREMIER DR",
            "address_2": "SUITE 101",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272658349",
            "telephone_number": "336-905-6333",
            "fax_number": "336-905-6334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "GRETCHEN",
        "middle_name": "YAZMINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-26",
        "last_updated": "2017-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2003-00101",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "1212660010",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89137K8",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00154395",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.