Active NPI
John Paul Velasco, M.D.
- Internal Medicine Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2015-01625
- Practice address
- 4614 Country Club Rd
Winston Salem, NC 27104-3520 - Phone
- (336) 716-3787
- Fax
- (336) 716-0222
- NPI assigned
- Jul 2, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 2015-01625 | NC | |
| Family Medicine Physician | 207Q00000X | 84941 | WI | |
| Family Medicine Physician | 207Q00000X | 4301100843 | MI | |
| Family Medicine Physician | 207Q00000X | 036.174129 | IL | |
| Internal Medicine Physician | 207R00000X | 2015-01625 | NC | Primary |
Addresses
Primary practice location
4614 Country Club Rd
Winston Salem, NC 27104-3520
Mailing address
PO Box 602658
Charlotte, NC 28260-2658
Phone (336) 716-2011
Other practice location 1
1534 W D St
North Wilkesboro, NC 28659-3528
Phone (336) 667-4178
Other practice location 2
1441 Branding Ave Ste 310
Downers Grove, IL 60515-5624
Phone (262) 693-4311
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100303555 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| FHIR URL | https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, SC, GA, AL, WI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Carolinas Physicians Network Inc
Practice addresses (Care Compare)
10620 Park Rd
Suite 202
Charlotte, NC 28210-0106
Phone (704) 667-0920
123 Professional Park Dr
Locust, NC 28097-7712
Phone (704) 403-6760
400 Northwodd Dr
Centre, AL 35960-1023
Phone (256) 927-5531
704 Gold Hill Rd
Suite 1200
Fort Mill, SC 29715-8906
Phone (704) 667-3380
990 Veterans Memorial Hwy NE
Suite a
Rome, GA 30161-4938
Phone (706) 291-4100
Hospital & facility affiliations
- Carolinas Medical Center/Behav Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 94 of 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.174129 | IL | MD | Family Medicine Physician |
| 4301100843 | MI | MD | Family Medicine Physician |
| 84941 | WI | MD | Family Medicine Physician |
| 2015-01625 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Carolinas Medical Center | Current | Accepting new patients | |
| Wake Forest Health Network LLC | Internal Medicine | Current | Accepting new patients |
| Aurora Advanced Healthcare Inc | Current | Accepting new patients | |
| Floyd Cherokee Medical Center LLC | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Floyd Healthcare Management Inc | Family Medicine | Current | Accepting new patients |
| Carolinas Physicians Network, Inc | Family Medicine | Current | Accepting new patients |
| Carolinas Medical Center | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Advocate Health & Hospitals Corporation | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Family Medicine | Current | Accepting new patients |
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Family Medicine | Current | Accepting new patients |
| Lakeshore Medical Clinic LTD | Family Medicine | Current | Accepting new patients |
| Floyd Healthcare Management Inc | Current | Accepting new patients | |
| Wake Forest Health Network LLC | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| Aurora Medical Group, Inc. | Family Medicine | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Wilkes Physician Network, Inc. | Family Medicine | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Current | Accepting new patients | |
| Wake Forest Health Network, LLC | Current | Accepting new patients | |
| Aurora Advanced Healthcare, Inc. | Family Medicine | Current | Accepting new patients |
| Carolinas Medical Center | Family Medicine | Current | Accepting new patients |
| Advocate Health and Hospitals Corporation | Current | Accepting new patients | |
| Lakeshore Medical Clinic, LLC | Family Medicine | Current | Accepting new patients |
| Family Medicine, PLLC | Family Medicine | Past | Accepting new patients |
| Carolinas Physicians Network Inc | Family Medicine | Past | Accepting new patients |
Locations (25 of 48)
400 Northwood Dr
Centre, AL 35960
Phone (256) 927-1382
1025 N Main St
Cedartown, GA 30125
Phone (770) 748-5212
990 Veterans Memorial Hwy NE
#A
Rome, GA 30161
Phone (706) 291-4100
420 E 2nd Ave
Ste 103
Rome, GA 30161
Phone (706) 509-3278
214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160
29373 Network Pl
Chicago, IL 60673
1441 Branding Ave
Ste 310
Downers Grove, IL 60515
Phone (630) 829-1038
10188 N Main St
Archdale, NC 27263
Phone (336) 802-2070
223 W Ward St
#B
Asheboro, NC 27203
327 Rock Crusher Rd
Asheboro, NC 27203
Phone (336) 636-5546
375 Sunset Ave
Asheboro, NC 27203
Phone (336) 625-4215
147 Peachtree Ln
Bermuda Run, NC 27006
Phone (336) 713-2290
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
251 Eastway Dr
Charlotte, NC 28213
Phone (704) 446-9991
10620 Park Rd
Ste 202
Charlotte, NC 28210
Phone (704) 512-3988
7030 Pineville Matthews Rd
Charlotte, NC 28226
Phone (704) 344-2100
13640 Steelecroft Pkwy
Ste 320
Charlotte, NC 28278
Phone (704) 302-8900
14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070
2090 S US 29 Hwy
China Grove, NC 28023
Phone (704) 403-6800
270 Copperfield Blvd NE
Ste 102
Concord, NC 28025
Phone (704) 721-2060
171 W Wilkes Medical Center Rd
Ferguson, NC 28624
Phone (336) 973-7050
905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040
151 Medical Park Dr
Jefferson, NC 28640
Phone (336) 246-7161
4000 S Swaim Street Ext
Jonesville, NC 28642
Phone (336) 835-6300
900 Old Winston Rd
Kernersville, NC 27284
Phone (336) 713-8077
Interoperability endpoints
- jvelasco2744227@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 30
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.
-
- Obstetrics & Gynecology Physician
- Charlotte, NC
- NPI 1275774333
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Charlotte, NC
- NPI 1477878890
-
- Pediatrics Physician
- Greensboro, NC
- NPI 1477785756
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Multi-Specialty Clinic/Center
- Oak Brook, IL
- NPI 1700824455
-
- Family Medicine Physician
- Milwaukee, WI
- NPI 1265629133
-
- Certified Registered Nurse Anesthetist
- Milwaukee, WI
- NPI 1427271378
Family Medicine
-
- Orthopaedic Surgery Physician
- Lancaster, SC
- NPI 1962858662
-
- Family Medicine Physician
- Saint Francis, WI
- NPI 1003861188
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1053358945
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1295789907
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1376985135
-
- Children's Rehabilitation Hospital
- Charlotte, NC
- NPI 1699829887
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1720029705
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1341187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744934400000",
"number": "1598029704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602658",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602658",
"telephone_number": "336-716-2011"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4614 COUNTRY CLUB RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271043520",
"telephone_number": "336-716-3787",
"fax_number": "336-716-0222"
}
],
"practiceLocations": [
{
"address_1": "1534 W D St",
"address_purpose": "LOCATION",
"city": "North Wilkesboro",
"state": "NC",
"postal_code": "286593528",
"country_code": "US",
"telephone_number": "336-667-4178",
"fax_number": "336-667-0938",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1441 Branding Ave Ste 310",
"address_purpose": "LOCATION",
"city": "Downers Grove",
"state": "IL",
"postal_code": "605155624",
"country_code": "US",
"telephone_number": "262-693-4311",
"fax_number": "414-203-3788",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELASCO",
"first_name": "JOHN PAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-07-02",
"last_updated": "2025-04-18",
"certification_date": "2025-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2015-01625",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "WI",
"license": "84941",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MI",
"license": "4301100843",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036.174129",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2015-01625",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100303555",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/",
"affiliation": "N",
"address_1": "1441 Branding Ave Ste 310",
"city": "Downers Grove",
"state": "IL",
"country_code": "US",
"postal_code": "605155624",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winston Salem, NC
- Sarah Vavreck, MASTERS OF COUNSELIN
- Jackeline Noemi Vazquez
- Laura Veach, PHD, LPC, LCAS, CCS
- Pol Martin Dimasuhid Vedar, PA
- Sebastian Antonio Vega
- Cheryl Velasquez, LCSW
- Gabriela Velazquez Ramirez, MD
- Braulio M Velez Acevedo, PHD, MSW CCRET, CHT
- Cindy Marie Velez Ortiz, MA, CCC-SLP
- Isma Enid Velez-Fernandez, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.