Active NPI
Angel L Velazquez-Santiago, MD
- Sports Medicine (Family Medicine) Physician
- Florence, KY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Family Medicine) Physician
- License
- 42917
- Practice address
- 8726 US 42
Florence, KY 41042-9625 - Phone
- (859) 301-2663
- Fax
- (859) 817-7848
- NPI assigned
- Feb 11, 2009
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 42917 | KY | Primary |
| Sports Medicine (Family Medicine) Physician | 207QS0010X | 35-094977 | OH |
Addresses
Primary practice location
8726 US 42
Florence, KY 41042-9625
Mailing address
560 S Loop Rd
Edgewood, KY 41017-3405
Phone (859) 301-2663
Other practice location 1
405 Violet Rd
Crittenden, KY 41030-8956
Phone (859) 903-0268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Ponce School of Medicine, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2626 Alexandria Pike
Suite 100
Highland Heights, KY 41076-1530
Phone (859) 301-2663
560 S Loop Rd
Edgewood, KY 41017-3405
Phone (859) 301-2663
Hospital & facility affiliations
- St Elizabeth Edgewood
- St Elizabeth Florence
- St Elizabeth Ft Thomas
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.01 of 100
- Quality
- 86.02
- 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 |
|---|---|---|---|
| 35-094977 | OH | MD | Sports Medicine (Family Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthocincy Orthopaedics & Sports Medicine PSC | Current | Accepting new patients | |
| Summit Medical Group, Inc | Family Medicine | Current | Accepting new patients |
| Orthocincy Orthopaedics & Sports Medicine PSC | Sports Medicine | Current | Accepting new patients |
| Summit Medical Group, Inc. | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
405 Violet Rd
Crittenden, KY 41030
Phone (859) 428-1610
560 S Loop Rd
Edgewood, KY 41017
Phone (859) 817-3599
1980 Litton Ln
Hebron, KY 41048
Phone (859) 334-8700
2626 Alexandria Pike
Ste 100
Highland Heights, KY 41076
Phone (859) 817-3599
1400 Grand Ave
Newport, KY 41071
Phone (859) 905-3070
238 Barnes Rd
Williamstown, KY 41097
Phone (859) 292-4000
300 Barnes Rd
Williamstown, KY 41097
Phone (859) 824-8217
Interoperability endpoints
- avelazquez3790@direct-prd.stelizabeth.com
- avelaquez@coc1897.srs-direct.com
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Edgewood, KY
- NPI 1598714560
Sports Medicine
-
- Family Medicine Physician
- Erlanger, KY
- NPI 1750343216
-
- Foot & Ankle Surgery Podiatrist
- Crestview Hills, KY
- NPI 1043188378
-
- Physical Therapist
- Montgomery, OH
- NPI 1003791054
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Florence, KY
- NPI 1154365062
-
- General Acute Care Hospital
- Edgewood, KY
- NPI 1467492421
-
- General Acute Care Hospital
- Fort Thomas, KY
- NPI 1740221795
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234310400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623283200000",
"number": "1629217880",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "560 S LOOP RD",
"city": "EDGEWOOD",
"state": "KY",
"postal_code": "410173405",
"telephone_number": "859-301-2663",
"fax_number": "859-817-7848"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8726 US 42",
"city": "FLORENCE",
"state": "KY",
"postal_code": "410429625",
"telephone_number": "859-301-2663",
"fax_number": "859-817-7848"
}
],
"practiceLocations": [
{
"address_1": "405 Violet Rd",
"address_purpose": "LOCATION",
"city": "Crittenden",
"state": "KY",
"postal_code": "410308956",
"country_code": "US",
"telephone_number": "859-903-0268",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VELAZQUEZ-SANTIAGO",
"first_name": "ANGEL",
"middle_name": "L",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-11",
"last_updated": "2021-06-10",
"certification_date": "2021-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "KY",
"license": "42917",
"primary": true
},
{
"code": "207QS0010X",
"taxonomy_group": "",
"desc": "Family Medicine, Sports Medicine",
"state": "OH",
"license": "35-094977",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Florence, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.