Elena Velazquez-Ortiz, DOCTOR RHEUMATOLOGY
NPI 1235278516 · Rheumatology Physician · Bayamon, PR
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Elena Velazquez-Ortiz, DOCTOR RHEUMATOLOGY is a Rheumatology Physician provider in Bayamon, PR (NPI 1235278516).
Provider details
- NPI number
- 1235278516
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- DOCTOR RHEUMATOLOGY
- Sex
- Female
- Sole proprietor
- No
- License
- 11478 (PR)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
50 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 50 | $58 |
Typical Medicare-allowed amounts for these services range $58–$58 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 53 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methotrexate Sodiumbrand: Methotrexate | 678 | 106 |
| Gabapentin | 650 | 164 |
| Prednisone | 516 | 143 |
| Hydroxychloroquine Sulfate | 347 | 61 |
| Denosumabbrand: Prolia | 248 | 169 |
| Baclofen | 208 | 74 |
| Alendronate Sodium | 204 | 59 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$24 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-05
- Last updated
- 2022-08-03
- Certified
- 2022-07-27
Frequently asked questions
- What is Elena Velazquez-Ortiz's NPI number?
- Elena Velazquez-Ortiz's National Provider Identifier (NPI) is 1235278516, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Elena Velazquez-Ortiz's specialty?
- Elena Velazquez-Ortiz is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Elena Velazquez-Ortiz located?
- Elena Velazquez-Ortiz's practice location on file with NPPES is Edificio Medico Santa Cruz, Bayamon, PR 00961-6941.
- What is Elena Velazquez-Ortiz's phone number?
- The practice phone number listed in the NPPES registry for Elena Velazquez-Ortiz is (787) 787-0202.
- Does Elena Velazquez-Ortiz accept Medicare?
- Elena Velazquez-Ortiz is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Elena Velazquez-Ortiz's NPI active?
- Yes — Elena Velazquez-Ortiz's NPI (1235278516) is active in the NPPES registry as of the last update on 2022-08-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.