Organization Active NPI

Velazquez Medical Practice PA

  • Internal Medicine Physician
  • Bellaire, TX
National Provider Identifier
1639266059
Registry record updated Nov 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
VELAZQUEZ MEDICAL PRACTICE PA
Practice address
4747 Bellaire Blvd Ste 210
Bellaire, TX 77401
Phone
(713) 800-7401
Fax
(713) 523-6461
NPI assigned
Oct 6, 2006
Last updated
Nov 6, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2018

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

Authorized official

Name
Francisco Javier Velazquez, M.D.NPI 1922096197
Title
Owner
Phone
(713) 523-7844

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X TX Primary

Addresses

Primary practice location

4747 Bellaire Blvd Ste 210
Bellaire, TX 77401

Mailing address

4747 Bellaire Blvd Ste 210
Bellaire, TX 77401-4518
Phone (713) 523-7844

Other practice location 1

4101 Greenbriar St
Suite 305
Houston, TX 77098-5294
Phone (713) 523-7844

Other identifiers 1

IdentifierTypeStateIssuer
194551101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080603000118 TX Part B Supplier - Clinic/Group Practice 9931279288 Receives reassigned benefits from 1 practitioner
Practice locations: Bellaire, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
45D1074030Velazquez Medical Practice4747 Bellaire Blvd Suite 210, Bellaire, TX 77401Certificate of waiverSep 20, 2027

National Provider Directory

National Provider Directory

Locations

4747 Bellaire Blvd
Ste 210
Bellaire, TX 77401
Phone (713) 523-7844

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1541462400000",
    "number": "1639266059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 BELLAIRE BLVD STE 210",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "774014518",
            "telephone_number": "713-523-7844",
            "fax_number": "713-523-6461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4747 BELLAIRE BLVD STE 210",
            "city": "BELLAIRE",
            "state": "TX",
            "postal_code": "77401",
            "telephone_number": "713-800-7401",
            "fax_number": "713-523-6461"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4101 Greenbriar St",
            "address_2": "Suite 305",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770985294",
            "country_code": "US",
            "telephone_number": "713-523-7844",
            "fax_number": "713-523-6461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "VELAZQUEZ MEDICAL PRACTICE PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-06",
        "last_updated": "2018-11-06",
        "status": "A",
        "authorized_official_last_name": "VELAZQUEZ",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "JAVIER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "713-523-7844",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "194551101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bellaire, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.