Individual provider Active NPI

Juanly Nefatli Rodriguez Velez, MD

  • Nephrology Physician
  • Sumter, SC
National Provider Identifier
1740708221
Registry record updated Nov 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
87336 Issued in SC
Practice address
625 W Wesmark Blvd
Sumter, SC 29150-1900
Phone
(803) 469-7950
NPI assigned
Sep 5, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Nephrology Physician 207RN0300X 87336 SC Primary

Addresses

Primary practice location

625 W Wesmark Blvd
Sumter, SC 29150-1900

Mailing address

625 W Wesmark Blvd
Sumter, SC 29150-1900
Phone (803) 469-7950

Other practice location 1

1400 NW 12th Ave
Miami, FL 33136-1003
Phone (305) 325-5511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20220613001326 SC Practitioner - NephrologyPractitioner - Internal Medicine 2062890544 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

506 N St
Bamberg, SC 29003-1319
Phone (803) 245-6290

625 W Wesmark Blvd
Sumter, SC 29150-1900
Phone (803) 469-7950

635 W Wesmark Blvd
Sumter, SC 29150-1900
Phone (843) 792-1414

649 W Wesmark Blvd
Sumter, SC 29150-1900
Phone (803) 469-7950

Hospital & facility affiliations

  • Fresenius Medical Care Manning Dialysis facility, Manning, SC, CCN 422537
  • Fresenius Medical Care Sumter Dialysis facility, Sumter, SC, CCN 422510
  • Musc Medical Center Hospital, Charleston, SC, CCN 420004
  • Prisma Health Tuomey Hospital Hospital, Sumter, SC, CCN 420070

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Musc Community Physicians CurrentSince Jul 1, 2024 Accepting new patients
Musc Community Physicians CurrentSince Jul 1, 2024 Accepting new patients
Musc Community Physicians Current Accepting new patients
Carolina Diabetes & Kidney Center, LLC Nephrology CurrentSince Jul 1, 2022 Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

625 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 469-7950

649 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 469-7950

635 W Wesmark Blvd
Sumter, SC 29150
Phone (803) 469-7500

Interoperability endpoints

  • Direct secure messaging: jrodriguezvelez485595@direct.musc.edu
  • FHIR API: https://fhir4.healow.com/fhir/r4/GCAHAD

Organizations & group practices 5

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.

Hospital & facility affiliations 8

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": "1504569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667433600000",
    "number": "1740708221",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501900",
            "telephone_number": "803-469-7950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 W WESMARK BLVD",
            "city": "SUMTER",
            "state": "SC",
            "postal_code": "291501900",
            "telephone_number": "803-469-7950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361003",
            "country_code": "US",
            "telephone_number": "305-325-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODRIGUEZ VELEZ",
        "first_name": "JUANLY",
        "middle_name": "NEFATLI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-05",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "SC",
            "license": "87336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sumter, SC

Sources for this page

Verify at the official NPI Registry.