Individual provider Active NPI

Jelexza Janira Velez Gaetan, M.D.

  • Family Medicine Physician
  • Dunedin, FL
National Provider Identifier
1730497447
Registry record updated Nov 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME124416 Issued in FL
Practice address
125 Patricia Ave
Dunedin, FL 34698-8100
Phone
(727) 331-8740
Fax
(727) 331-8744
NPI assigned
Sep 15, 2010
Last updated
Nov 15, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X ME124416 FL Primary

Addresses

Primary practice location

125 Patricia Ave
Dunedin, FL 34698-8100

Mailing address

125 Patricia Ave
Dunedin, FL 34698-8100
Phone (727) 331-8740

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
I20151106000295 FL Practitioner - Family Practice 2466762646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ama Medical Group LLCGroup PAC ID 8820270895, 3 clinicians

Practice addresses (Care Compare)

125 Patricia Ave
Suite B
Dunedin, FL 34698-8100
Phone (727) 331-8740

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ama Medical Group LLC CurrentSince Feb 2, 2025 Accepting new patients

Locations

125 Patricia Ave
Dunedin, FL 34698
Phone (727) 331-8740

125 Patricia Ave
Ste B
Dunedin, FL 34698
Phone (727) 331-8740

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, 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": "1284508800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636934400000",
    "number": "1730497447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 PATRICIA AVE",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346988100",
            "telephone_number": "727-331-8740",
            "fax_number": "727-331-8744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 PATRICIA AVE",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346988100",
            "telephone_number": "727-331-8740",
            "fax_number": "727-331-8744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELEZ GAETAN",
        "first_name": "JELEXZA",
        "middle_name": "JANIRA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-15",
        "last_updated": "2021-11-15",
        "certification_date": "2021-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME124416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunedin, FL

Sources for this page

Verify at the official NPI Registry.