Wanda Carla Bellamy, MD
Individual provider Active NPI Urology Physician · Bronx, NY
NPI 1023859345 · NPPES record last updated Jun 3, 2024
Key facts
- NPI
- 1023859345
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- P124857 (NY)
- Practice address
- 1250 Waters PL Ste PH
Bronx, NY 10461-2720 - Phone
- (347) 842-1707
- Fax
- (917) 962-5410
- NPI assigned
- Jun 3, 2024
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Urology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Guthrie Medical Group PC
Practice addresses (Care Compare)
1 Guthrie SQ
Sayre, PA 18840-1625
Phone (570) 887-2854
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250714004221 | MI | Order and Referring Only - Urology |
9032624572 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P124857 | NY | MD | Urology Physician |
Interoperability endpoints
- wbellamy1078824@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | P124857 | NY | Yes |
Addresses
Primary practice location
1250 Waters PL Ste PH
Bronx, NY 10461-2720
Mailing address
3439 Knox PL Apt 4H
Bronx, NY 10467-2044
Phone (718) 530-4320
Other practice location 1
111 E 210th St
Bronx, NY 10467-2401
Phone (718) 920-5731
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.