Dr Gustavo Velasquez, MD in South Jordan, UT

Dr Gustavo Velasquez, MD is a medicare enrolled "Family Medicine" physician in South Jordan, Utah. His current practice location is 4377 W Vermillion Dr, South Jordan, Utah. You can reach out to his office (for appointments etc.) via phone at (505) 624-5622.

Dr Gustavo Velasquez is licensed to practice in Utah (license number 6646826-1205) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1821211988.

Contact Information

	Dr Gustavo Velasquez, MD
	4377 W Vermillion Dr, South Jordan, UT 84009-7776
	(505) 624-5622
	(801) 302-7798

Map and Direction

Physician's Profile

Full Name	Dr Gustavo Velasquez
Gender	Male
Speciality	Family Medicine
Location	4377 W Vermillion Dr, South Jordan, Utah
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1821211988
Provider Enumeration Date: 04/10/2007
Last Update Date: 02/12/2026

Medicare PECOS Information:

PECOS PAC ID: 8426136060
Enrollment ID: I20120301000801

Medical Identifiers

Medical identifiers for Dr Gustavo Velasquez such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1821211988	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
207Q00000X	Family Medicine	N7508 (Texas)	Secondary
207Q00000X	Family Medicine	6646826-1205 (Utah)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Gustavo Velasquez allows following entities to bill medicare on his behalf.

Entity Name	Concord Medical Group Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1083630610 PECOS PAC ID: 0446296818 Enrollment ID: O20050707000531

Entity Name	Leading Edge Emergency Physicians, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1003165259 PECOS PAC ID: 2466601588 Enrollment ID: O20121005000189

Entity Name	Century Integrated Partners, Inc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1447615711 PECOS PAC ID: 6406151703 Enrollment ID: O20160224002152

Entity Name	Emergency Medicine Services Of Tx, Pllc
Entity Type	Part B Supplier - Clinic/group Practice
Entity Identifiers	NPI Number: 1245938729 PECOS PAC ID: 3375909351 Enrollment ID: O20230517001124

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Gustavo Velasquez is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Dr Gustavo Velasquez, MD 7181 S Campus View Dr Ste 200, West Jordan, UT 84084-4312 Ph: (801) 965-3600	Dr Gustavo Velasquez, MD 4377 W Vermillion Dr, South Jordan, UT 84009-7776 Ph: (505) 624-5622

Reviews and Comments

Family Medicine Doctors in South Jordan, UT

Lisa Marie Hanson, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 4538 W South Jordan Pkwy Unit 110, South Jordan, UT 84009 Phone: 801-661-6052
Dr. Charles Olin Canfield, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 10437 S Jordan Gtwy, South Jordan, UT 84095 Phone: 801-877-0705 Fax: 801-335-5957
Ryan C Jones, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 11444 S Redwood Rd, South Jordan, UT 84095 Phone: 801-253-5900
Dr. Joseph Barney Stanford, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84095 Phone: 801-213-4500
Dr. David Gareth Owen, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 5126 W Daybreak Pkwy, South Jordan, UT 84095 Phone: 801-213-4500 Fax: 801-585-3655
Michelle L Palmer, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1325 W South Jordan Pkwy, Suite 102, South Jordan, UT 84095 Phone: 801-508-3111 Fax: 801-508-3105
Annliza Lachica Piacitelli, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1868 W 9800 S, Ste 100, South Jordan, UT 84095 Phone: 801-433-2873

Dr Gustavo Velasquez, MD - Medicare Family Medicine in South Jordan, UT