Individual provider Active NPI

Rodrigo Ernesto Velasco, M.D

  • Family Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1710229448
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME136030 Issued in FL
Practice address
3790 7TH Ter Ste 102
Vero Beach, FL 32960-6552
Phone
(786) 385-0175
NPI assigned
Mar 20, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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 ME136030 FL
Family Medicine Physician 207Q00000X ME136030 FL Primary

Addresses

Primary practice location

3790 7TH Ter Ste 102
Vero Beach, FL 32960-6552

Mailing address

3790 7TH Ter Ste 102
Vero Beach, FL 32960-6552
Phone (786) 385-0175

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20180831001310 FL Practitioner - Family Practice 6406099126 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mid-Florida Emergency Physicians, LLCGroup PAC ID 8426213596, 11 clinicians
Emergency Physicians of Central Florida LLPGroup PAC ID 1850296567, 132 clinicians

Practice addresses (Care Compare)

13695 US Hwy 1
Sebastian, FL 32958-3230
Phone (772) 589-3187

3790 7TH Ter
Suite 102
Vero Beach, FL 32960-6552
Phone (772) 362-9283

9400 Turkey Lake Rd
Orlando, FL 32819-8001
Phone (407) 351-8500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME136030FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Wales Emergency Physicians, LLC Emergency Medicine CurrentSince Dec 7, 2019 Accepting new patients
Dr Velasco Concierge Family Medicine CurrentSince Jun 1, 2024 Accepting new patients
Emergency Physicians of Central Florida LLP Emergency Medicine CurrentSince Aug 1, 2025 Accepting new patients
Mid-Florida Emergency Physicians, LLC Emergency Medicine CurrentSince Jul 18, 2018 Accepting new patients
Boone Memorial Hospital, Inc CurrentSince Aug 22, 2017 Accepting new patients
Anesthesia of Indian River Inc Past Accepting new patients
Monuszko Anesthesia, LLC PastSince Sep 15, 2019 Accepting new patients

Locations

1900 Don Wickham Dr
Clermont, FL 34711
Phone (352) 536-8761

410 S 11th St
Lake Wales, FL 33853
Phone (863) 676-1433

555 W State Road 434
Longwood, FL 32750
Phone (407) 767-1200

250 N Wickham Rd
Melbourne, FL 32935
Phone (321) 637-2600

9400 Turkey Lake Rd
Orlando, FL 32819
Phone (321) 843-5500

1414 S Orange Ave
#112
Orlando, FL 32806
Phone (407) 767-1200

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

3600 S Highlands Ave
Sebring, FL 33870
Phone (863) 385-6101

3790 7th Ter
Ste 102
Vero Beach, FL 32960
Phone (772) 362-9283

660 S Main St
Madison, WV 25130
Phone (304) 369-4250

701 Madison Ave
Madison, WV 25130
Phone (304) 369-1230

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FJHEDD/Endpoint/FJHEDD

Organizations & group practices 7

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 2

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": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1710229448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3790 7TH TER STE 102",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606552",
            "telephone_number": "786-385-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3790 7TH TER STE 102",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329606552",
            "telephone_number": "786-385-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "RODRIGO",
        "middle_name": "ERNESTO",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-20",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME136030",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME136030",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.