Individual provider Active NPI

Ricardo J Velazquez, MD

  • Internal Medicine Physician
  • Las Vegas, NV
National Provider Identifier
1831278928
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
11680 Issued in NV
Practice address
2020 Goldring Ave Ste 203
Las Vegas, NV 89106-4000
Phone
(702) 399-8808
Fax
(702) 384-8807
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 11680 NV Primary

Addresses

Primary practice location

2020 Goldring Ave Ste 203
Las Vegas, NV 89106-4000

Mailing address

PO Box 750669
Las Vegas, NV 89136-0669
Phone (702) 399-8808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20060209000725 NV Practitioner - Internal Medicine 5092720169 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ricardo Velazquez MD PLLCGroup PAC ID 1355401365, 2 clinicians

Practice addresses (Care Compare)

2010 Wellness Way
Las Vegas, NV 89106-4142
Phone (702) 462-9026

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11680NVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ricardo Velazquez MD PLLC Internal Medicine CurrentSince Oct 1, 2008 Accepting new patients
Paul Vega MD, Inc Internal Medicine Past Accepting new patients
North Vista Physicians, Inc. PastSince Apr 13, 2016 Accepting new patients
North Vista Hospital LLC Past Accepting new patients
Physicians Health Net, Inc. Past Accepting new patients

Locations

3811 W Charleston Blvd
Ste 104
Las Vegas, NV 89102

2020 Wellness Way
Ste 203
Las Vegas, NV 89106
Phone (702) 395-0006

2010 Wellness Way
Ste 308
Las Vegas, NV 89106
Phone (702) 399-8808

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 1

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": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1263427200000",
    "number": "1831278928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 750669",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891360669",
            "telephone_number": "702-399-8808",
            "fax_number": "702-384-8807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 GOLDRING AVE STE 203",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891064000",
            "telephone_number": "702-399-8808",
            "fax_number": "702-384-8807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELAZQUEZ",
        "first_name": "RICARDO",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-02",
        "last_updated": "2010-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": "11680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.