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DR. VASILIOS VELMAHOS M.D
NPI 1013000355
Internal Medicine - Infectious Disease in Edison, NJ

Active since September 30, 2006PECOS EnrolledAccepts Medicare Assignment
28.83/100
CMS Quality Rating
113 JAMES ST, EDISON, NJ 08820(732) 906-1900(732) 906-6666 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Vasilios Velmahos M.d NPPES

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

DR. VASILIOS VELMAHOS M.D (NPI 1013000355) is an individual infectious disease provider in Edison, New Jersey, licensed in New Jersey (MA055050) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Jfk Medical Center, and is a graduate of Other (1987).

NPPES Registry Identity

NPI1013000355
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. VASILIOS VELMAHOSCredential: M.D
Location Address113 JAMES STEdison, NJ 08820-3946
Mailing Address113 James StEdison, NJ 08820-3946 · (732) 906-1900 · Fax (732) 906-6666
Phone(732) 906-1900
Fax(732) 906-6666
Sole ProprietorNo
Medical School CMSOtherGraduated 1987
Enumeration DateSeptember 30, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1013000355 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in NJ · MA055050
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
113 JAMES ST, Edison, NJ 08820
Open in Google Maps ↗

Other Identifiers 3

Medicare UPINE95734NJ
Medicare ID-Type Unspecified681493PAXNJ
Medicaid6168205NJ

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Vasilios Velmahos M.d is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9537155775
PECOS Enrollment IDI20110405000960
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 9

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
2,148 services359 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
745 services282 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
651 services208 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
208 services180 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
116 services108 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
103 services34 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 08820 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

28.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality33.33
Improvement Activities0
Cost30.61

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. MARY JO PARADISO M.D
Internal Medicine (Infectious Disease)
113 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 906-1900
NEW JERSEY INFECTIOUS DISEASE ASSOCIATES, P.A.
Internal Medicine (Infectious Disease)
113 JAMES ST
EDISON, NJ 08820
Middlesex County (732) 906-1900

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 Vasilios Velmahos's NPI number?

The NPI number for Vasilios Velmahos is 1013000355. It was assigned to this individual provider in the NPPES registry on September 30, 2006.

Where is Vasilios Velmahos located?

Vasilios Velmahos practices at 113 James St, Edison, NJ 08820. The listed phone number is (732) 906-1900.

What is Vasilios Velmahos's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Vasilios Velmahos enrolled in Medicare?

Yes. Vasilios Velmahos is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Vasilios Velmahos affiliated with any hospitals?

According to CMS data, Vasilios Velmahos is affiliated with Jfk Medical Center.

When was this NPI record last updated?

The NPPES record for Vasilios Velmahos was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years 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.