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ROBERT Y VELASCO M.D.
NPI 1811217649
Internal Medicine in East Providence, RI

Active since June 03, 2010PECOS EnrolledAccepts Medicare Assignment
375 WAMPANOAG TRAIL, EAST PROVIDENCE, RI 02915(401) 649-4050(401) 649-4051 Get Directions Write a Review

NPPES record last updated: March 5, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 5, 2026, Mar 18, 2017, Sep 23, 2016 (3 updates tracked since 2016).

About Robert Y Velasco M.d. NPPES

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

ROBERT Y VELASCO M.D. (NPI 1811217649) is an individual internal medicine provider in East Providence, Rhode Island, licensed in Rhode Island (MD14253) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Rhode Island Hospital, and is a graduate of Warren Alpert Medical School Of Brown University (2010).

NPPES Registry Identity

NPI1811217649
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameROBERT Y VELASCOCredential: M.D.
Location Address375 WAMPANOAG TRAILEast Providence, RI 02915
Mailing Address15 La Salle SqProvidence, RI 02903-1814 · (401) 444-6779 · Fax (401) 444-6912
Phone(401) 649-4050
Fax(401) 649-4051
Sole ProprietorNo
Medical School CMSWarren Alpert Medical School Of Brown UniversityGraduated 2010
Enumeration DateJune 3, 2010
Last NPPES UpdateMarch 5, 20263 updates tracked since enumeration
NPPES CertifiedMarch 5, 2026
✔ NPI 1811217649 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in RI · MD14253
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.
375 WAMPANOAG TRAIL, East Providence, RI 02915
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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

Robert Y Velasco 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 ID2365685583
PECOS Enrollment IDI20130906000475
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 8

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
159 services103 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
107 services57 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
99 services99 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
86 services79 patients
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.
55 services28 patients
Hemoglobin a1c level 83036
Hemoglobin A1c (HbA1c) is a test that measures your average blood sugar level over the past 2-3 months. It's used to monitor how well diabetes is being controlled. High levels may indicate that your diabetes treatment plan needs adjustment.
18 services13 patients

Hospital Affiliations CMS Care Compare 2

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

Rhode Island Hospital

Acute Care Hospitals · Providence, RI
3/5 CMS rating
OwnershipTribal
CMS Certification Number410007
Location593 Eddy StreetProvidence, RI 02903 · Providence County
Emergency services

The Miriam Hospital

Acute Care Hospitals · Providence, RI
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number410012
Location164 Summit AvenueProvidence, RI 02906 · Providence County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02915 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
6 suppliers15 claims31 services$5.95 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

DR. PREETI GUPTA MD
Psychiatry & Neurology (Neurology)
375 WAMPANOAG TRAIL, SUITE 405B
EAST PROVIDENCE, RI 02915
Providence County (401) 526-0100
NICOLE FONTES DPT
Physical Therapist
375 WAMPANOAG TRAIL, SUITE 403
EAST PROVIDENCE, RI 02915
Providence County (401) 270-8770
ANTHONY M REGINATO MD
Internal Medicine (Rheumatology)
375 WAMPANOAG TRAIL, SUITE 202B
E. PROVIDENCE, RI 02915
Providence County (401) 649-4040
EDWARD V LALLY MD
Internal Medicine (Rheumatology)
375 WAMPANOAG TRAIL, SUITE 202B
E. PROVIDENCE, RI 02915
Providence County (401) 649-4040
STUART T SCHWARTZ MD
Internal Medicine (Rheumatology)
375 WAMPANOAG TRAIL, SUITE 202B
E. PROVIDENCE, RI 02915
Providence County (401) 649-4040
ABHINAV KUMAR MISRA MBBS
Internal Medicine (Pulmonary Disease)
375 WAMPANOAG TRAIL, PULMONARY & SLEEP MEDICINE
RIVERSIDE, RI 02915
Providence County (401) 649-4070

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 Robert Velasco's NPI number?

The NPI number for Robert Velasco is 1811217649. It was assigned to this individual provider in the NPPES registry on June 3, 2010.

Where is Robert Velasco located?

Robert Velasco practices at 375 Wampanoag Trail, East Providence, RI 02915. The listed phone number is (401) 649-4050.

What is Robert Velasco's specialty?

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

Is Robert Velasco enrolled in Medicare?

Yes. Robert Velasco 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 Robert Velasco affiliated with any hospitals?

According to CMS data, Robert Velasco is affiliated with Rhode Island Hospital and The Miriam Hospital.

When was this NPI record last updated?

The NPPES record for Robert Velasco was last updated on March 5, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.