GUSTAVO VELASQUEZ MD INC
NPI 1003774118
Family Medicine in South Jordan, UT

Q: What is Gustavo Velasquez MD Inc's NPI number?

The NPI number for Gustavo Velasquez MD Inc is 1003774118. It was assigned to this organization in the NPPES registry on January 15, 2026.

Q: What is Gustavo Velasquez MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since January 15, 2026

4377 W VERMILLION DR, SOUTH JORDAN, UT 84009(801) 302-7798 Get Directions Write a Review

NPPES record last updated: January 15, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Gustavo Velasquez Md Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GUSTAVO VELASQUEZ MD INC (NPI 1003774118) is a healthcare organization registered as a family medicine in South Jordan, Utah and active in the NPI registry since January 2026. The organization lists Gustavo Valesquez, Owner, as its authorized official.

NPPES Registry Identity

NPI1003774118

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameGUSTAVO VELASQUEZ MD INC

Location Address4377 W VERMILLION DRSouth Jordan, UT 84009-7776

Mailing Address4377 W Vermillion DrSouth Jordan, UT 84009-7776

Phone(801) 302-7798

Organization SubpartNo

Authorized OfficialGustavo ValesquezOwner · (801) 302-7798

Enumeration DateJanuary 15, 2026

NPPES CertifiedJanuary 15, 2026

✔ NPI 1003774118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

4377 W VERMILLION DR, South Jordan, UT 84009

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas, BridgeSpan Health Company, Regence BlueCross BlueShield of Utah.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Gustavo Velasquez Md Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Gustavo Velasquez MD Inc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Gustavo Velasquez, MD

Family Practice

NPI 1821211988

4377 W VERMILLION DR
South Jordan, UT 84009

(505) 624-5622

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gustavo Velasquez MD Inc's NPI number?

The NPI number for Gustavo Velasquez MD Inc is 1003774118. It was assigned to this organization in the NPPES registry on January 15, 2026.

Where is Gustavo Velasquez MD Inc located?

Gustavo Velasquez MD Inc is located at 4377 W Vermillion Dr, South Jordan, UT 84009. The listed phone number is (801) 302-7798.

What is Gustavo Velasquez MD Inc's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gustavo Velasquez MD Inc enrolled in Medicare?

Yes. Gustavo Velasquez MD Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Gustavo Velasquez MD Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Gustavo Velasquez MD Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Gustavo Velasquez MD Inc accept?

Health plans from Blue Cross and Blue Shield of Texas, BridgeSpan Health Company and Regence BlueCross BlueShield of Utah list Gustavo Velasquez MD Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Gustavo Velasquez MD Inc was last updated on January 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.