Andres F Velasco, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME96936 Issued in FL

Practice address

1565 Saxon Blvd Ste 103
Deltona, FL 32725

Phone

(386) 574-1423

Fax

(321) 684-5212

NPI assigned

Jan 16, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, MO2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Central Florida Primary Physicians LLC

  • Internal Medicine Physician
  • Deltona, FL
  • NPI 1437334323
  Medicare reassignment NPD
• Emergency Medicine Services of FL, LLC

  • Emergency Medicine Physician
  • Aventura, FL
  • NPI 1043917180
  Medicare reassignment NPD
• Paragon Emergency Services LLC

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1912101650
  Medicare reassignment NPD
• Ridgewood Emergency Group, LLC

  • Emergency Medicine Physician
  • Davenport, FL
  • NPI 1750862694
  Medicare reassignment NPD
• Southeast Health Center of Stoddard County, LLC

  • Rural Health Clinic/Center
  • Dexter, MO
  • NPI 1790828812
  Medicare reassignment NPD
• Central Florida Primary Physicians

  • Family Medicine Physician
  • Deltona, FL
  • NPI 1962714790
  NPD Authorized official
• Ridgewood Emergency Group, LLC

  • Emergency Medicine Physician
  • Winter Haven, FL
  • NPI 1679324842
  NPD
• Southeast Health Center of Stoddard County LLC

  • Family Medicine Physician
  • Dexter, MO
  • NPI 1477997567

  Emergency Medicine

  NPD
• Southeast Health Center of Stoddard County, LLC

  • Rural Health Clinic/Center
  • Dexter, MO
  • NPI 1457660045
  NPD
• Jax Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Jacksonville, FL
  • NPI 1912346016
  NPD (past)

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560384000000",
    "number": "1942351861",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1565 SAXON BLVD STE 103",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "32725",
            "telephone_number": "386-574-1423",
            "fax_number": "321-684-5212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1565 SAXON BLVD STE 103",
            "city": "DELTONA",
            "state": "FL",
            "postal_code": "32725",
            "telephone_number": "386-574-1423",
            "fax_number": "321-684-5212"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40100 Highway 27",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "FL",
            "postal_code": "338375900",
            "country_code": "US",
            "telephone_number": "863-422-4971",
            "fax_number": "863-419-2264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VELASCO",
        "first_name": "ANDRES",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-16",
        "last_updated": "2019-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "FL",
            "license": "ME96936",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME96936",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME96936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matt Van Singel
• Victoria Vanderford
• Sudhir K Varma, MD
• Heavenly Vasquez
• Maria Olimpia Vazquez
• Melissa Veliz
• Robert Miguel Vento, MS,MFT
• Mauricio Vergara
• Bishnu Prakash Verma, M.D.
• Mickerlange C Vernet, CNA

• Internal Medicine Physician in Deltona, FL
• Providers in Deltona, FL by specialty
• Internal Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2019; 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.

Verify at the official NPI Registry.