DR. ELENA VELAZQUEZ-ORTIZ DOCTOR RHEUMATOLOGY
NPI 1235278516
Internal Medicine - Rheumatology in Bayamon, PR

NPI Status: Active since February 05, 2007

Contact Information

EDIFICIO MEDICO SANTA CRUZ
73 CALLE SANTA CRUZ- OFIC 216
BAYAMON, PR
ZIP 00961
Phone: (787) 787-0202

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  • Individual
  • Female
  • Years of Experience 35
  • Internal Medicine
  • Rheumatology
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About ELENA VELAZQUEZ-ORTIZ

This page provides the complete NPI Profile along with additional information for Elena Velazquez-ortiz, an internist established in Bayamon, Puerto Rico with a medical specialization in Internal Medicine, focusing in rheumatology and more than 35 years of experience. She graduated from University Central Del Caribe Escuela De Medicina in 1991. The healthcare provider is registered in the NPI registry with number 1235278516 assigned on February 2007. The practitioner's primary taxonomy code is 207RR0500X with license number 11478 (PR). The provider is registered as an individual and her NPI record was last updated 3 years ago.

NPI
1235278516
Provider Name
DR. ELENA VELAZQUEZ-ORTIZ DOCTOR RHEUMATOLOGY
Gender
Female
Entity Type
Individual
Location Address
EDIFICIO MEDICO SANTA CRUZ 73 CALLE SANTA CRUZ- OFIC 216 BAYAMON, PR 00961
Location Phone
(787) 787-0202
Mailing Address
URB LAS NUBES 29 VIA NARANJALES CAGUAS, PR 00727
Mailing Phone
(787) 378-6139
Medical School Name
UNIVERSITY CENTRAL DEL CARIBE ESCUELA DE MEDICINA
Graduation Year
1991
Is Sole Proprietor?
No
Enumeration Date
02-05-2007
Last Update Date
08-03-2022
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An internist like Elena Velazquez-ortiz is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

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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

Internal Medicine Rheumatology

Taxonomy Code
207RR0500X
Type
Allopathic & Osteopathic Physicians
License No.
11478
License State
PR
Taxonomy Description
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.

Medicare Participation & PECOS Enrollment Status

Elena Velazquez-ortiz is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Elena Velazquez-ortiz is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 8224015300

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20040707000161

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

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.

This service was performed 76 times for 30 patients

Physician Visit Costs



The typical physician office visit costs for Medicare beneficiaries in this area are: $32.66 for a new patient copayment and $25.06 for an established patient copayment.

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 00961 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99204

  • Average New Patient Price $130.65
  • Minimum New Patient Price $56.86
  • Maximum New Patient Price $172.44
  • Average New Patient Copayment $32.66
  • Minimum New Patient Copayment $14.21
  • Maximum New Patient Copayment $43.11

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99214

  • Average Established Patient Price $100.24
  • Minimum Established Patient Price $18.24
  • Maximum Established Patient Price $140.44
  • Average Established Patient Copayment $25.06
  • Minimum Established Patient Copayment $4.56
  • Maximum Established Patient Copayment $35.11

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Reviews for DR. ELENA VELAZQUEZ-ORTIZ DOCTOR RHEUMATOLOGY

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1235278516
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2265471652
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 6 + 5 + 4 + 7 + 1 + 6 + 5 + 2 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1235278516 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 2 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1184918880 JOAN M ALBORS-SANCHEZ
Individual
Internal Medicine (Pulmonary Disease)EDIFICIO MEDICO SANTA CRUZ 73 CALLE SANTA CRUZ SUITE 215
BAYAMON, PR 00961
(787) 930-4845
1275703480 LAURA M CARBO GONZALEZ MD
Individual
General PracticeEDIFICIO MEDICO SANTA CRUZ SUITE 301
BAYAMON, PR 00961
(787) 998-4484

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1235278516, enumerated in the NPI registry as an "individual" on February 05, 2007

The provider is located at Edificio Medico Santa Cruz 73 Calle Santa Cruz- Ofic 216 Bayamon, Pr 00961 and the phone number is (787) 787-0202

The provider's speciality is Internal Medicine with taxonomy code 207RR0500X with a focus in Rheumatology

The provider has more than 35 years of experience. She graduated from University Central Del Caribe Escuela De Medicina in 1991.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $130.65 with an average copayment of $32.66 for new patient appointments. Established patients should expect a typical charge of $100.24 and an average copayment of 25.06. Please review your insurance plan or contact the provider directly to determine your specific costs.

The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes.

This NPI record was last updated on February 05, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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