Individual provider Active NPI

Gisela Velez, M.D.

  • Ophthalmology Physician
  • Ayer, MA
National Provider Identifier
1639119167
Registry record updated Apr 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
210293 Issued in MA
Practice address
190 Groton Rd
Suite 240
Ayer, MA 01432-1124
Phone
(978) 772-4000
NPI assigned
Jun 6, 2006
Last updated
Apr 26, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 210293 MA Primary
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician 207WX0108X 21093 MA
Retina Specialist (Ophthalmology) Physician 207WX0107X 210293 MA

Addresses

Primary practice location

190 Groton Rd
Suite 240
Ayer, MA 01432-1124

Mailing address

190 Groton Rd
Suite 240
Ayer, MA 01432-1124
Phone (978) 772-4000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20040507000551 MA Practitioner - Ophthalmology 6507855392 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
New York University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Eye Physicians and Surgeons, P.C.Group PAC ID 2466433032, 3 clinicians

Practice addresses (Care Compare)

190 Groton Rd
Suite 240
Ayer, MA 01432-1191
Phone (978) 772-4000

420 Lakeside Ave
Suite 103
Marlborough, MA 01752-4571
Phone 9787724000208

Merit-based Incentive Payment System (MIPS)

Final score
91.69 of 100Reported as group
Quality
100
Improvement activities
40
Cost
70.3

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
210293MAMDOphthalmology Physician
21093MAMDUveitis and Ocular Inflammatory Disease (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Eye Physicians and Surgeons, P.C. Ophthalmology CurrentSince Jul 12, 2001 Accepting new patients
Gisela Velez, M.D., LLC CurrentSince Sep 17, 2013 Accepting new patients
Retina Consultants of Worcester PC Ophthalmology Past Accepting new patients
Medical Eye Care Services PC Ophthalmology PastSince Mar 1, 2004 Accepting new patients

Locations

190 Groton Rd
Ste 240
Ayer, MA 01432
Phone (978) 772-4000

420 Lakeside Ave
Ste 103
Marlborough, MA 01752
Phone (508) 486-9000

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556236800000",
    "number": "1639119167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "190 GROTON RD",
            "address_2": "SUITE 240",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014321124",
            "telephone_number": "978-772-4000",
            "fax_number": "978-772-3066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "190 GROTON RD",
            "address_2": "SUITE 240",
            "city": "AYER",
            "state": "MA",
            "postal_code": "014321124",
            "telephone_number": "978-772-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ",
        "first_name": "GISELA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2019-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MA",
            "license": "210293",
            "primary": true
        },
        {
            "code": "207WX0108X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Uveitis and Ocular Inflammatory Disease",
            "state": "MA",
            "license": "21093",
            "primary": false
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "MA",
            "license": "210293",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ayer, MA

Sources for this page

Verify at the official NPI Registry.