ANGEL L VELAZQUEZ-SANTIAGO (MD) – Family Medicine Physician, NPI 1629217880

ANGEL L VELAZQUEZ-SANTIAGO (MD) is a healthcare provider. based in Edgewood, Kentucky. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. 42917 (KY). The NPI Number for ANGEL L VELAZQUEZ-SANTIAGO (MD) is 1629217880

Main info

Male
19 Years Of Experience
Accepts Medicare Assignment
Name
ANGEL L VELAZQUEZ-SANTIAGO (MD)
NPI
1629217880
Phone
(859) 301-2663
Address
560 S LOOP RD
Enumeration Date
11 February 2009
Last Update Date
10 June 2021

Doctor Profile

Medical School Name
PONCE SCHOOL OF MEDICINE
Secondary Phone
8593012663
Graduation Year
2007 (19 years ago)
PAC ID
5890975684
Group Practice PAC ID
3173500196
Professional Enrollment ID
I20110211000008
Address ID
KY410761530HI2626XPIKE301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience72
Completeness75
Years active:17State licenses:2Digital endpointsOther names

1,718 FAMILY PRACTICE in KY

Provider Addresses for ANGEL L VELAZQUEZ-SANTIAGO (MD)

  • 560 S LOOP RD

    EDGEWOOD, KY 410173405

    Phone: (859) 301-2663

    Fax: (859) 817-7848

    Type: Mailing

  • 8726 US 42

    FLORENCE, KY 410429625

    Phone: (859) 301-2663

    Fax: (859) 817-7848

    Type: Location

  • 405 Violet Rd

    Crittenden, KY 410308956

    Phone: (859) 903-0268

    Type: Location

  • Harrison Avenue, Cyclorama Heights, Cincinnati, Hamilton County, Ohio, 45211, United States

    SUITE 201

    CINCINNATI, OH 452477961

    Phone: (513) 354-3700

    Fax: (513) 354-7651

    Type: Mailing

  • Cincinnati Reds Hall of Fame and Museum, 100, Joe Nuxhall Way, The Banks, Central Business District, Cincinnati, Hamilton County, Ohio, 45202, United States

    CINCINNATI, OH 452412374

    Phone: (513) 354-3700

    Fax: (513) 354-3705

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2011-02-11

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
I20110211000008IFamily PracticeKYTBD

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
J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg2,22021$0
J0702Injection, betamethasone acetate 3 mg and betamethasone sodium phosphate 3 mg642195$0
99214Established patient office or other outpatient visit, 30-39 minutes348223$0
J1100Injection, dexamethasone sodium phosphate, 1 mg18419$0
20611Aspiration and/or injection of fluid large joint using ultrasound guidance176122$0
View full utilization report →

Insurance plans in this area (ZIP 41017)

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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: 3173500196View full group profile
NameSpecialtyState
P O D I A T R YKY
P O D I A T R YKY
Physical Therapist In Private PracticeOH
Orthopedic SurgeryOH
Physician AssistantKY
P O D I A T R YOH
Physical Therapist In Private PracticeKY
Orthopedic SurgeryKY
Physician AssistantOH
Physical Medicine And RehabilitationOH

Reviews

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Frequently asked questions

Can I cross-check ANGEL L VELAZQUEZ-SANTIAGO (MD) using NPI 1629217880?
NPI 1629217880 belongs to ANGEL L VELAZQUEZ-SANTIAGO (MD); compare other details if you need extra assurance.
Is ANGEL L VELAZQUEZ-SANTIAGO (MD) still an active registrant?
ANGEL L VELAZQUEZ-SANTIAGO (MD) carries an active NPI according to the public dataset.
What area of care is associated with ANGEL L VELAZQUEZ-SANTIAGO (MD)?
ANGEL L VELAZQUEZ-SANTIAGO (MD)'s record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is ANGEL L VELAZQUEZ-SANTIAGO (MD) located near Edgewood?
ANGEL L VELAZQUEZ-SANTIAGO (MD) currently maps to Edgewood, Kentucky in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.