DR. GILBERTO VELAZCO MD
NPI 1164909313
Internal Medicine in Miami, FL

Q: What is Gilberto Velazco's NPI number?

The NPI number for Gilberto Velazco is 1164909313. It was assigned to this individual provider in the NPPES registry on July 20, 2018.

Q: What is Gilberto Velazco's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Gilberto Velazco was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since July 20, 2018PECOS EnrolledAccepts Medicare Assignment

81.31/100

CMS Quality Rating

1321 NW 14TH ST, MIAMI, FL 33125(305) 243-6692(305) 585-8655 Get Directions Write a Review

NPPES record last updated: July 12, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 12, 2022, Aug 15, 2021, May 10, 2019 and 2 more (5 updates tracked since 2018).

On this page

About Dr. Gilberto Velazco Md NPPES

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

DR. GILBERTO VELAZCO MD (NPI 1164909313) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME152349) and active in the NPI registry since July 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2005).

NPPES Registry Identity

NPI1164909313

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameDR. GILBERTO VELAZCOCredential: MD

Location Address1321 NW 14TH STMiami, FL 33125-1673

Mailing Address1321 Nw 14th StMiami, FL 33125-1673 · (305) 243-6692 · Fax (305) 585-8655

Phone(305) 243-6692

Fax(305) 585-8655

Sole ProprietorYes

Medical School CMSOtherGraduated 2005

Enumeration DateJuly 20, 2018

Last NPPES UpdateJuly 12, 20225 updates tracked since enumeration

NPPES CertifiedJuly 12, 2022

✔ NPI 1164909313 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME152349

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1321 NW 14TH ST, Miami, FL 33125

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and more.Insurance ›

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. Gilberto Velazco Md 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 ID547647885

PECOS Enrollment IDI20220506001376

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 2

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.

167 services51 patients

Hospital discharge day management, 30 minutes or less 99238

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

19 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33125 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

81.31/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

78.45

Promoting Interoperability

100

Improvement Activities

Cost

50.59

Other Providers at the Same Location NPPES 20

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

DAGMAR LEMUS MD PA

Internal Medicine

1321 NW 14TH ST, SUITE 303
MIAMI, FL 33125

Miami-Dade County (305) 548-4005

ONCOLOGY AND RADIATION ASSOCIATES, PA

Internal Medicine (Hematology & Oncology)

1321 NW 14TH ST, STE 601
MIAMI, FL 33125

Miami-Dade County (305) 325-1700

ESPAILLAT MEDICAL SERVICES LLC

Ophthalmology

1321 NW 14TH ST, SUITE 603
MIAMI, FL 33125

Miami-Dade County (305) 545-9393

MARCOS M CHERTMAN M.D.

Internal Medicine (Endocrinology, Diabetes & Metabolism)

1321 NW 14TH ST, SUITE 304
MIAMI, FL 33125

Miami-Dade County (305) 324-5481

DR. HEMAL J. PAREKH M.D.

Internal Medicine (Critical Care Medicine)

1321 NW 14TH ST
MIAMI, FL 33125

Miami-Dade County (305) 689-7240

DR. THOMAS GERARD ZWICK D.P.M.

Podiatrist (Foot & Ankle Surgery)

1321 NW 14TH ST, SUITE 103
MIAMI, FL 33125

Miami-Dade County (305) 326-3338

DR. JENNA ANNE RALPH AU.D.

Audiologist

1321 NW 14TH ST, SUITE 204
MIAMI, FL 33125

Miami-Dade County (305) 325-0090

LAI-YUAN LIU MD

Internal Medicine (Geriatric Medicine)

1321 NW 14TH ST, SUITE 602
MIAMI, FL 33125

Miami-Dade County (305) 545-5353

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 Gilberto Velazco's NPI number?

The NPI number for Gilberto Velazco is 1164909313. It was assigned to this individual provider in the NPPES registry on July 20, 2018.

Where is Gilberto Velazco located?

Gilberto Velazco practices at 1321 NW 14th St, Miami, FL 33125. The listed phone number is (305) 243-6692.

What is Gilberto Velazco's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Gilberto Velazco enrolled in Medicare?

Yes. Gilberto Velazco 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.

What insurance does Gilberto Velazco accept?

Health plans from AvMed, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Gilberto Velazco 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 Gilberto Velazco was last updated on July 12, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.