Individual provider Active NPI

Maria Magdalena Belean, PA-C

  • Physician Assistant
  • Hollywood, FL
National Provider Identifier
1023334745
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9105352 Issued in FL
Practice address
4030 Sheridan St Ste C
Hollywood, FL 33021-3564
Phone
(954) 961-7500
Fax
(954) 964-8965
NPI assigned
Apr 20, 2010
Last updated
May 16, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9105352 FL Primary

Addresses

Primary practice location

4030 Sheridan St Ste C
Hollywood, FL 33021-3564

Mailing address

1150 N 35TH Ave
Suite 200
Hollywood, FL 33021-5424
Phone (954) 961-7500

Other identifiers 7

IdentifierTypeStateIssuer
P01027163OtherFLRAILROAD MCR
0767692OtherFLCIGNA
356791OtherFLAVMED
0009661888OtherFLAETNA
Y0C8HOtherFLBCBS FL
1220753OtherFLWELLCARE
006528500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101006000237 FL Practitioner - Physician Assistant 7214129477 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesiscare USA of Florida LLCGroup PAC ID 9830082882, 172 clinicians

Practice addresses (Care Compare)

1419 SE 8TH Ter
Cape Coral, FL 33990-3213
Phone (239) 772-3202

4030 Sheridan St
Suite C
Hollywood, FL 33021-3564
Phone (954) 961-7500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9105352FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Genesiscare USA of Florida LLC CurrentSince Jan 9, 2012 Accepting new patients
Genesiscare USA of Florida LLC CurrentSince Jan 9, 2012 Accepting new patients
Genesiscare USA of Florida LLC Past Accepting new patients
Genesiscare USA of Florida, LLC PastSince May 19, 2024 Accepting new patients
Urology Specialty Group LLC Past Accepting new patients

Locations

1419 SE 8th Ter
Cape Coral, FL 33990
Phone (239) 772-3202

2270 Colonial Blvd
Fort Myers, FL 33907
Phone (239) 344-2391

4030 Sheridan St
Ste C
Hollywood, FL 33021
Phone (954) 961-7500

730 Goodlette Rd
Ste 201
Naples, FL 34102
Phone (239) 262-1119

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1023334745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1150 N 35TH AVE",
            "address_2": "SUITE 200",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330215424",
            "telephone_number": "954-961-7500",
            "fax_number": "954-964-8965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4030 SHERIDAN ST STE C",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213564",
            "telephone_number": "954-961-7500",
            "fax_number": "954-964-8965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELEAN",
        "first_name": "MARIA",
        "middle_name": "MAGDALENA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-04-20",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9105352",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCR",
            "identifier": "P01027163",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0767692",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "356791",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0009661888",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FL",
            "identifier": "Y0C8H",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1220753",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006528500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.