DR. ALFONSO VELASCO (M.D.) – Family Medicine Physician, NPI 1396740536

DR. ALFONSO VELASCO (M.D.) is a healthcare provider. based in Fresno, California. specializing in Family Medicine Physician. They hold the professional credentials M.D.. They hold a License No. A29360 (CA). The NPI Number for DR. ALFONSO VELASCO (M.D.) is 1396740536

Main info

Male
Sole Proprietor
52 Years Of Experience
Accepts Medicare Assignment
Name
DR. ALFONSO VELASCO (M.D.)
NPI
1396740536
Phone
(559) 227-6691
Address
4011 N FRESNO ST
Enumeration Date
15 June 2005
Last Update Date
24 February 2014

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, SAN FRANCISCO SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1974 (52 years ago)
PAC ID
4082776109
Group Practice PAC ID
0345406294
Professional Enrollment ID
I20081229000126
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for DR. ALFONSO VELASCO (M.D.)

  • 4011, North Fresno Street, Fresno, Fresno County, California, 93726, United States

    STE 101

    FRESNO, CA 937264028

    Phone: (559) 227-6691

    Fax: (559) 227-3765

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $83.

Total Amount is formed as General ($83) + Research ($0) + Ownership ($0) = $83.

Last reported payment date: 2023-11-03 • Largest payer in this snapshot: Merck Sharp & Dohme LLC ($83).

Total Amount

$83

General + Research + Ownership

Payments

3

Total payment records

General Amount

$83

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-03

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
Merck Sharp & Dohme LLC$83
View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-12-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081229000126IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes306139$0
99213Established patient office or other outpatient visit, 20-29 minutes5338$0
99443Telephone medical discussion with physician, 21-30 minutes4837$0
View full utilization report →

Insurance plans in this area (ZIP 93726)

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Provider's Procedures

DR. ALFONSO VELASCO (M.D.) performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINECA90670Pneumococcal vaccine for injection into muscle3030

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0345406294View full group profile

Reviews

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Frequently asked questions

What NPI should I save for DR. ALFONSO VELASCO (M.D.)?
Save NPI 1396740536 if you need a stable reference for DR. ALFONSO VELASCO (M.D.).
Is DR. ALFONSO VELASCO (M.D.)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What kind of provider is DR. ALFONSO VELASCO (M.D.)?
The page reflects Family Medicine Physician for DR. ALFONSO VELASCO (M.D.). Clinical services aligned with this taxonomy classification.
Where is DR. ALFONSO VELASCO (M.D.)'s primary listing?
We display Fresno, California because that is what the record indicates for DR. ALFONSO VELASCO (M.D.).
How can I contact DR. ALFONSO VELASCO (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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