DR. THERESA SILVA VELASQUEZ M.D.
NPI 1275519456
Pediatrics in Luling, TX
NPI Status: Active since December 19, 2005
Contact Information
111 S LAUREL AVE
LULING, TX
ZIP 78648
Phone: (830) 875-6399
Fax: (830) 875-6398
- Individual
- Female
- Pediatrics
- Accepts Insurance
About THERESA VELASQUEZ
This page provides the complete NPI Profile along with additional information for Theresa Velasquez, a pediatrician established in Luling, Texas with a medical specialization in Pediatrics. The healthcare provider is registered in the NPI registry with number 1275519456 assigned on December 2005. The practitioner's primary taxonomy code is 208000000X with license number K0391 (TX). The provider is registered as an individual and her NPI record was last updated 10 years ago.
- NPI
- 1275519456
- Provider Name
- DR. THERESA SILVA VELASQUEZ M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 111 S LAUREL AVE LULING, TX 78648
- Location Phone
- (830) 875-6399
- Location Fax
- (830) 875-6398
- Mailing Address
- PO BOX 1890 GONZALES, TX 78629
- Mailing Phone
- (830) 672-6511
- Mailing Fax
- (830) 875-6398
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-19-2005
- Last Update Date
- 11-28-2016
- Code Navigator
A pediatrician like Theresa Velasquez is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pediatrics
- Taxonomy Code
- 208000000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- K0391
- License State
- TX
- Taxonomy Description
- A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Sendero Health Austin512 Silver / $40 PCP / $75 Specialist / $15 Generic Drugs / $0 Deductible - HMO
- Sendero Health Capital Silver / $40 PCP / $80 Specialist / $20 Generic Drugs - HMO
- Sendero Health Hill Country Gold / $30 PCP / $60 Specialist / $15 Generic Drugs - HMO
- Sendero Health Original Silver / $20 PCP + 2 $0 PCP Visits / $10 Generic Drugs - HMO
- Sendero Health Preferred Bronze / $25 PCP / $75 Specialist / $22 Generic Drugs - HMO
- Sendero Health Quality Care Bronze High Deductible / $50 PCP / $25 Generic Drugs / $100 Specialist - HMO
- Sendero Health Real Gold / $350 Deductible - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| TXB119975 | MEDICARE PIN (08) | TX | |
| 120675706 | MEDICAID (05) | TX |
Reviews for DR. THERESA SILVA VELASQUEZ M.D.
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1275519456, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 4 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1275519456, enumerated as an "individual" on December 19, 2005.
The provider is located at 111 S LAUREL AVE LULING, TX 78648 and the phone number is (830) 875-6399.
Pediatrics with taxonomy code 208000000X.
The provider might be accepting Accepts: Sendero Health Plans, Local Nonprofit, Medicare. Please consult your insurance carrier or call the provider to verify.
