Active NPI
Carlos Ricardo Velasco, M.D.
- Family Medicine Physician
- Laredo, TX
National Provider Identifier
1730111386
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- M2171
- Practice address
- 1515 Pappas St
Laredo, TX 78041-1705 - Phone
- (956) 795-8100
- Fax
- (956) 795-8135
- NPI assigned
- Jul 6, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | M2171 | TX | Primary |
Addresses
Primary practice location
1515 Pappas St
Laredo, TX 78041-1705
Mailing address
2007 S Zapata Hwy
Laredo, TX 78046-6510
Phone (956) 795-8100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 176204901 | Other | TX | MEDICAID TPI |
| M2171 | Other | TX | LICENSE |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hni Medical Services | Family Medicine | Current | Accepting new patients |
Locations
512 Victoria Ln
Ste 12
Harlingen, TX 78550
Phone (956) 440-6322
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152144000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449100800000",
"number": "1730111386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 S ZAPATA HWY",
"city": "LAREDO",
"state": "TX",
"postal_code": "780466510",
"telephone_number": "956-795-8100",
"fax_number": "956-795-8135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 PAPPAS ST",
"city": "LAREDO",
"state": "TX",
"postal_code": "780411705",
"telephone_number": "956-795-8100",
"fax_number": "956-795-8135"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VELASCO",
"first_name": "CARLOS",
"middle_name": "RICARDO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-06",
"last_updated": "2015-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "M2171",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID TPI",
"identifier": "176204901",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "M2171",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Laredo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.