Individual provider Active NPI

Louis Eduardo Velasco III, M.D.

  • Emergency Medicine Physician
  • Florence, AZ
National Provider Identifier
1629102363
Registry record updated Jul 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
33126 Issued in AZ
Practice address
4545 N Hunt Hwy
Florence, AZ 85132
Phone
(480) 840-3702
NPI assigned
Mar 15, 2007
Last updated
Jul 23, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 60615 MN
Emergency Medicine Physician 207P00000X 33126 AZ Primary

Addresses

Primary practice location

4545 N Hunt Hwy
Florence, AZ 85132

Mailing address

4561 S Bandit CT
Gilbert, AZ 85297-9612
Phone (480) 219-6474

Other practice location 1

2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 672-6000

Other identifiers 1

IdentifierTypeStateIssuer
968779OtherAZAHCCCS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051012000438 AZ Practitioner - Emergency Medicine 4486679008 Reassigns benefits to 6 organizations
I20140319001411 AL Practitioner - Emergency Medicine 4486679008 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest HBP Medical Services LLCGroup PAC ID 8921356536, 278 clinicians
Usacs Emergency Medicine of Arizona LLCGroup PAC ID 7113447475, 36 clinicians
Ies Arizona PLLCGroup PAC ID 7810382884, 49 clinicians

Practice addresses (Care Compare)

10146 E Old Vail Rd
Tucson, AZ 85747-9406
Phone (520) 229-2657

4545 N Hunt Hwy
Florence, AZ 85132-6937
Phone (520) 868-3333

5301 E Grant Rd
Tucson, AZ 85712-2805
Phone (520) 327-5461

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33126AZMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Group of Arizona Professional Corporation Emergency Medicine CurrentSince Jun 6, 2016 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Northwest HBP Medical Services LLC Emergency Medicine CurrentSince Apr 29, 2025 Accepting new patients
Usacs of Colorado Inc Emergency Medicine CurrentSince Feb 1, 2025 Accepting new patients
Usacs Emergency Medicine of Arizona, LLC Emergency Medicine CurrentSince Apr 1, 2025 Accepting new patients
Mobile Emergency Physicians, LLC Emergency Medicine CurrentSince Jan 3, 2014 Accepting new patients

Locations

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100

18701 N 67th Ave
Glendale, AZ 85308
Phone (623) 561-1000

1301 S Crismon Rd
Mesa, AZ 85209
Phone (480) 358-6300

5750 E Baseline Rd
Mesa, AZ 85206
Phone (602) 246-5797

1930 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 532-1000

1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500

10146 E Old Vail Rd
Tucson, AZ 85747
Phone (520) 229-2657

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

6350 W Marana Center Blvd
Tucson, AZ 85742
Phone (520) 579-6040

Interoperability endpoints

  • Direct secure messaging: gehlvelas@yourcarecommunity.org
  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 8

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 6

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": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532304000000",
    "number": "1629102363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4561 S BANDIT CT",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852979612",
            "telephone_number": "480-219-6474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4545 N HUNT HWY",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "85132",
            "telephone_number": "480-840-3702"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2450 Riverside Ave",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "554541450",
            "country_code": "US",
            "telephone_number": "612-672-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "LOUIS",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2018-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MN",
            "license": "60615",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "33126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "968779",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Florence, AZ

Sources for this page

Verify at the official NPI Registry.