Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jonathan Earl Velasco, MD

Individual provider Surgery Physician · NPI 1962477661

Jonathan Earl Velasco, MD is a Vascular Surgery in Dayton, Ohio. Graduated from Indiana University School of Medicine in 1992, 34 years ago. Practices with Kettering Independent Medical Group Inc, a 700-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
34
Trained at
Indiana University School of Medicine
Licensed in
OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3533 Southern Blvd Ste 2200
Dayton, OH 45429-1264
Phone: (937) 228-4126
Fax: (937) 424-8659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • One Elizabeth Place, Dayton, OH 45408 — (937) 228-4126

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 35071454 (OH)
Surgery Physician Taxonomy 208600000X · Licence 35071454 (OH)

Record details

NPI number1962477661
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 17, 2006
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Also practisesGENERAL SURGERY
Medical schoolINDIANA UNIVERSITY SCHOOL OF MEDICINE
Graduated 1992 (34 years in practice)
Group practice Kettering Independent Medical Group Inc — 700 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations11 on file with Medicare

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