Luis A Velazquez
MEDSTAR MEDICAL GROUP-SOUTHERN MARYLAND LLC


Address: 130 Hospital Rd, Suite 300, Prince Frederick, MD 20678-4057
Phone: 4105354333

Luis A Velazquez (NPI# 1003311002, PAC ID# 6002170495) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).

Physician Overview

Nation Provider ID (NPI) 1003311002
PAC ID by PECOS 6002170495
Professional Enrollment ID I20180511001034
Full Name Luis A Velazquez
Organization Legal Name MEDSTAR MEDICAL GROUP-SOUTHERN MARYLAND LLC
Address 130 Hospital Rd
Suite 300
Prince Frederick
MD 20678-4057
Phone Number 4105354333
Gender M
Graduation Year 2017
Primary Specialty CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA)
Group Practice PAC ID 1355667056
Number of Group Practice Members 152
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
210039 CALVERTHEALTH MEDICAL CENTER

Other Locations

Address Phone Organization
100 Hospital Rd, Prince Frederick, MD 20678-4017 4105354000 NORTH AMERICAN PARTNERS IN ANESTHESIA MARYLAND LLC
130 Hospital Rd, Suite 300, Prince Frederick, MD 20678-4057 4105354333 MEDSTAR MEDICAL GROUP-SOUTHERN MARYLAND LLC
5401 Old Court Rd, Randallstown, MD 21133-5103 4105212200 NORTH AMERICAN PARTNERS IN ANESTHESIA MARYLAND LLC

Organization Information

Organization Legal Name MEDSTAR MEDICAL GROUP-SOUTHERN MARYLAND LLC
Physicians 137

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Name Specialty Organization Address
Moenil Patel Nurse Practitioner Medstar Medical Group-southern Maryland LLC 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534
Lukasz R Kiljanek Internal Medicine Medstar Medical Group-southern Maryland LLC 3581 Old Washington Rd, Suite D, Waldorf, MD 20602-3270
Syed K Hussaini Internal Medicine Medstar Medical Group-southern Maryland LLC 28030 Old Village Rd, Mechanicsville, MD 20659-4288
Sailaja C Nandipati Rheumatology Medstar Medical Group-southern Maryland LLC 3500 Old Washington Rd, 102 Medstar Shah Waldorf Cancer Center, Waldorf, MD 20602-3205
Adele A Fields Diagnostic Radiology Medstar Medical Group-southern Maryland LLC 24035 Three Notch Rd, Hollywood, MD 20636-4871
George B Bren Cardiovascular Disease (cardiology) Medstar Medical Group-southern Maryland LLC 11707 Livingston Rd, Suite 306, Fort Washington, MD 20744-5151
Paul B Berez Internal Medicine Medstar Medical Group-southern Maryland LLC 2200 Defense Hwy 100, Crofton, MD 21114-2458
Michael Edward Perraut Internal Medicine Medstar Medical Group-southern Maryland LLC 22590 Shady Ct, California, MD 20619-5009
John C Patterson Cardiovascular Disease (cardiology) Medstar Medical Group-southern Maryland LLC 7501 Surratts Rd, Suite 201a, Clinton, MD 20735-3362
Basirmohmad F Kolia Cardiovascular Disease (cardiology) Medstar Medical Group-southern Maryland LLC 12070 Old Line Ctr, Suite 100, Waldorf, MD 20602-2534

Office Location

Street Address 130 HOSPITAL RD
SUITE 300
City PRINCE FREDERICK
State MD
Zip 20678-4057

Physicians in the same location

Name Specialty Organization Address
Theodore Tsangaris General Surgery Calverthealth Medical Group, LLC 130 Hospital Rd, Suite 201, Prince Frederick, MD 20678-4055
Elena Mendez-hutchinson Occupational Therapy Calverthealth Medical Center Inc 130 Hospital Rd, Suite 103, Prince Frederick, MD 20678-4029
Justine S Ellerman Nurse Practitioner Shah and Associates LLC 130 Hospital Rd, Suite 300, Prince Frederick, MD 20678-4057
Jerjis T Alajaji Diagnostic Radiology American Radiology Associates,p.a. 130 Hospital Rd, Ll100, Prince Frederick, MD 20678-4029
Lynn K Hoyle Physical Therapy Calverthealth Medical Center Inc 130 Hospital Rd, Suite 103, Prince Frederick, MD 20678-4029
Faris I Hawit Dermatology Calvert Dermatology, LLC 130 Hospital Rd, Suite 200, Prince Frederick, MD 20678-4055
Anson J Joseph Nephrology Medstar Medical Group-southern Maryland LLC 130 Hospital Rd, Suite 300, Prince Frederick, MD 20678-4057
Heather J Montgomery Nurse Practitioner Calvert Dermatology, LLC 130 Hospital Rd, Suite 200, Prince Frederick, MD 20678-4055
Paul H Griffith Iii Orthopedic Surgery Calverthealth Medical Group, LLC 130 Hospital Rd, Suite 101, Prince Frederick, MD 20678-4029
Anwar T Munshi Internal Medicine Medstar Medical Group-southern Maryland LLC 130 Hospital Rd, Suite 300, Prince Frederick, MD 20678-4057
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Physicians in the same zip code

Name Specialty Organization Address
Denise L Cook Clinical Social Worker Calvert County Health Department 975 Solomons Island Rd N, Suite 119, Prince Frederick, MD 20678-0980
Travis W Roberts Nurse Practitioner Calvert County Health Department 975 Solomons Island Rd N, Suite 119, Prince Frederick, MD 20678-0980
Richard Winters Clinical Social Worker Calvert County Health Department 975 Solomons Island Rd N, Suite 119, Prince Frederick, MD 20678-0980
Jacqueline Regina Elba Nurse Practitioner Calvert County Health Department 975 Solomons Island Rd N, Suite 119, Prince Frederick, MD 20678-0980
Stephen R Herskovitz Clinical Social Worker Calvert County Health Department 975 Solomons Island Rd N, Suite 119, Prince Frederick, MD 20678-0980
Terry Lee Nunley Nurse Practitioner Calvert County Health Department 975 Solomons Island Rd N, Suite 119, Prince Frederick, MD 20678-0980
Drew Fuller Emergency Medicine Calvert County Health Department 975 Solomons Island Rd N, Suite 119, Prince Frederick, MD 20678-0980
Emad R Al-banna General Surgery 1050 Solomons Island Rd, Prince Frederick, MD 20678-2102
George N Demas Optometry Prince Frederick Optometry LLC 130 W Dares Beach Rd, Prince Frederick, MD 20678-3120
Ciaran Therese Browne Nephrology 225 W Dares Beach Rd, Prince Frederick, MD 20678-3123
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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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