NPIMap

Individual provider Active NPI

Rajendra P Bellam, M.D

  • Internal Medicine Physician
  • Dunnellon, FL
National Provider Identifier
1053392969
Registry record updated May 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME0060472 Issued in FL
Practice address
20021 SW 111TH Place
Dunnellon, FL 34432-5890
Phone
(352) 465-1199
Fax
(352) 465-1207
NPI assigned
Nov 8, 2005
Last updated
May 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME0060472 FL Primary

Addresses

Primary practice location

20021 SW 111TH Place
Dunnellon, FL 34432-5890

Mailing address

20021 SW 111TH Place
Dunnellon, FL 34432-5890
Phone (352) 465-1199

Other identifiers 5

IdentifierTypeStateIssuer
15174OtherFLBCBS
110203292OtherFLRAILROAD MEDICARE PIN
989759OtherFLUNITED HEALTH CARE
CG8031OtherFLRAILROAD MEDICARE GROUP
370922100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100624000810 FL Practitioner - Internal Medicine 6901897297 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11707 N Williams St
Suite 2
Dunnellon, FL 34432-5855
Phone (352) 465-1919

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0060472FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa General Hospital Current Accepting new patients
West Florida Medical Associates P a Internal Medicine CurrentSince Jun 5, 1997 Accepting new patients
Nature Coast Geriatric Services LLC CurrentSince Mar 23, 2015 Accepting new patients
West Florida Medical Associates, PA Internal Medicine CurrentSince Jun 5, 1997 Accepting new patients
West Florida Medical Associates, PA Past Accepting new patients

Locations

3404 N Lecanto Hwy
Ste A
Beverly Hills, FL 34465
Phone (352) 513-4867

3404 N Lecanto Hwy
Ste C
Beverly Hills, FL 34465
Phone (352) 746-1558

3737 N Lecanto Hwy
Beverly Hills, FL 34465
Phone (352) 746-1515

11707 N Williams St
Ste 2
Dunnellon, FL 34432
Phone (352) 465-1199

20021 SW 111th Pl
Dunnellon, FL 34432
Phone (352) 465-1199

41 N Inglis Ave
Inglis, FL 34449
Phone (352) 447-3031

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://epicproxy.et0761.epichosted.com/FHIRProxy/api/FHIR/R4/
  • Direct secure messaging: rbellam296846@direct.tgh.org

Ownership & related parties

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
West Florida Medical Associates, PAInglis, FL, CCN 108923 Rural health clinic W-2 Managing Employee Sep 1, 2010
Bellam Medical ClinicDunnellon, FL, CCN 103944 Rural health clinic 5% Or Greater Direct Ownership Interest (100%)
W-2 Managing Employee (100%)		 Sep 1, 2010
Sep 1, 2010

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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 7

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": "1131408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747958400000",
    "number": "1053392969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20021 SW 111TH PLACE",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344325890",
            "telephone_number": "352-465-1199",
            "fax_number": "352-465-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20021 SW 111TH PLACE",
            "city": "DUNNELLON",
            "state": "FL",
            "postal_code": "344325890",
            "telephone_number": "352-465-1199",
            "fax_number": "352-465-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELLAM",
        "first_name": "RAJENDRA",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-08",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0060472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "15174",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "110203292",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "989759",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CG8031",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "370922100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunnellon, FL

Sources for this page

Verify at the official NPI Registry.