Individual provider Active NPI

Nelly Delcarmen Velasquez, MD

  • Family Medicine Physician
  • Austin, TX
National Provider Identifier
1619955218
Registry record updated Mar 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L8547 Issued in TX
Practice address
900 E 30TH St Ste 205
Austin, TX 78705
Phone
(512) 236-1100
Fax
(512) 236-1128
NPI assigned
Jan 4, 2006
Last updated
Mar 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L8547 TX Primary

Addresses

Primary practice location

900 E 30TH St Ste 205
Austin, TX 78705

Mailing address

900 E 30TH St Ste 205
Austin, TX 78705-3378
Phone (512) 236-1100

Other identifiers 2

IdentifierTypeStateIssuer
8M2500OtherBCBS
165096201MedicaidTX

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
I20040624001694 TX Practitioner - Family Practice 6709862451 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

900 E 30TH St
Suite 205
Austin, TX 78705-3378
Phone (512) 236-1100

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L8547TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Office Force CurrentSince Feb 25, 2026 Accepting new patients
Nelly Velasquez MD PA Family Medicine CurrentSince Mar 1, 2004 Accepting new patients

Locations

900 E 30th St
Ste 200
Austin, TX 78705
Phone (512) 236-1100

900 E 30th St
Ste 205
Austin, TX 78705
Phone (512) 236-1100

Interoperability endpoints

  • Direct secure messaging: nelly.velasquez.1@27072.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677888000000",
    "number": "1619955218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 E 30TH ST STE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787053378",
            "telephone_number": "512-236-1100",
            "fax_number": "512-236-1128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 E 30TH ST STE 205",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "78705",
            "telephone_number": "512-236-1100",
            "fax_number": "512-236-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "NELLY",
        "middle_name": "DELCARMEN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2023-03-04",
        "certification_date": "2023-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L8547",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8M2500",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165096201",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

Verify at the official NPI Registry.