Individual provider Active NPI

Bernardino Velasquez, MD

  • Anesthesiology Physician
  • Phoenix, AZ
National Provider Identifier
1932369550
Registry record updated Oct 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
249110 Issued in NY
Practice address
7878 N 16TH St Ste 250
Phoenix, AZ 85020-4478
Phone
(602) 308-7815
Fax
(602) 277-8146
NPI assigned
Jun 17, 2008
Last updated
Oct 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 249110 NY Primary

Addresses

Primary practice location

7878 N 16TH St Ste 250
Phoenix, AZ 85020-4478

Mailing address

7878 N 16TH St Ste 250
Phoenix, AZ 85020-4478
Phone (602) 308-7815

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20150925000345 AZ Practitioner - Anesthesiology 2062584535 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ophthalmic Anesthesiology Consultants of Arizona PLLCGroup PAC ID 2365709847, 7 clinicians

Practice addresses (Care Compare)

9849 W Thunderbird Blvd
Sun City, AZ 85351-2963
Phone (623) 583-4440

Merit-based Incentive Payment System (MIPS)

Final score
58.09 of 100Reported as group
Quality
16.17
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
249110NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ophthalmic Anesthesiology Consultants of Arizona PLLC Anesthesiology CurrentSince Jan 1, 2018 Accepting new patients

Locations

23480 N Sundance Pkwy
Ste 106
Buckeye, AZ 85326
Phone (623) 250-4800

300 E Osborn Rd
Ste 102
Phoenix, AZ 85012
Phone (602) 234-8478

7878 N 16th St
Ste 250
Phoenix, AZ 85020
Phone (602) 234-1803

10541 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 748-7810

9849 W Thunderbird Blvd
Sun City, AZ 85351
Phone (623) 583-2020

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601856000000",
    "number": "1932369550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7878 N 16TH ST STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204478",
            "telephone_number": "602-308-7815"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7878 N 16TH ST STE 250",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204478",
            "telephone_number": "602-308-7815",
            "fax_number": "602-277-8146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VELASQUEZ",
        "first_name": "BERNARDINO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-17",
        "last_updated": "2020-10-05",
        "certification_date": "2020-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "249110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.