Individual provider Active NPI

Julio Jose Andino-Velez, M.D.

  • Neurology Physician
  • Rockwall, TX
National Provider Identifier
1629224670
Registry record updated Jan 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
BP20044990 Issued in TX
Practice address
3140 Horizon Rd Ste 105
Rockwall, TX 75032-7820
Phone
(469) 443-0742
Fax
(469) 443-0501
NPI assigned
Aug 11, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X BP20044990 TX Primary

Addresses

Primary practice location

3140 Horizon Rd Ste 105
Rockwall, TX 75032-7820

Mailing address

PO Box 1067
Rowlett, TX 75030-1067
Phone (469) 443-0742

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
I20130809000297 TX Practitioner - Neurology 6204078942 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Ponce School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

3140 Horizon Rd
Suite 105
Rockwall, TX 75032-7820
Phone (469) 443-0742

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
79.95 of 100Reported as individual
Quality
69.43
Improvement activities
40
Cost
73.93

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP20044990TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sash Healthcare Services PastSince Jan 1, 2016 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGGBBD/Endpoint/JGGBBD
  • Direct secure messaging: julio.andinovelezmd.p1@direct.tpma.nextgenshare.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Bristol Hospice - DallasAddison, TX, CCN 671622 Hospice Contracted Managing Employee Jul 15, 2021

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1218412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1629224670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1067",
            "city": "ROWLETT",
            "state": "TX",
            "postal_code": "750301067",
            "telephone_number": "469-443-0742",
            "fax_number": "469-443-0501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3140 HORIZON RD STE 105",
            "city": "ROCKWALL",
            "state": "TX",
            "postal_code": "750327820",
            "telephone_number": "469-443-0742",
            "fax_number": "469-443-0501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDINO-VELEZ",
        "first_name": "JULIO",
        "middle_name": "JOSE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-08-11",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "BP20044990",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockwall, TX

Sources for this page

Verify at the official NPI Registry.