NPIMap

Individual provider Active NPI

Michael H Belgard, PA

  • Medical Physician Assistant
  • Center, TX
National Provider Identifier
1063503449
Registry record updated Jun 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
620 Tenaha St
Center, TX 75935-3404
Phone
(936) 598-2716
Fax
(936) 598-5059
NPI assigned
Sep 28, 2006
Last updated
Jun 1, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X 00477 TX
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

620 Tenaha St
Center, TX 75935-3404

Mailing address

620 Tenaha St
Center, TX 75935-3404
Phone (936) 598-2716

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20080122000818 TX Practitioner - Physician Assistant 3072694520 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Health Opportunities for the People of East Texas, IncGroup PAC ID 2567360167, 17 clinicians

Practice addresses (Care Compare)

12815 US Hwy 84 E
Joaquin, TX 75954-2440
Phone (936) 220-1442

157 Wall St
Tenaha, TX 75974-5413
Phone (936) 248-4673

620 Tenaha St
Center, TX 75935-3404
Phone (936) 598-2716

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00477TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Em-I Medical Services PA Single Specialty CurrentSince May 1, 2012 Accepting new patients
Shelby Hospital L.L.C. Single Specialty Past Accepting new patients
Memorial Multispecialty Associates Single Specialty Past Accepting new patients
Health Opportunities for the People of East Texas Past Accepting new patients
Texas Emergency Room Services PA Single Specialty Past Accepting new patients
Camino Real Emergency Physicians PLLC Single Specialty Past Accepting new patients

Locations

8000 Eldorado Pkwy
McKinney, TX 75070
Phone (469) 424-6400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FEJACA/Endpoint/FEJACA

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
The Hope Project, Inc.Tenaha, TX, CCN 671883 Federally qualified health center Corporate Officer Jul 28, 2016

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 8

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 2

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": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685577600000",
    "number": "1063503449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 TENAHA ST",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759353404",
            "telephone_number": "936-598-2716",
            "fax_number": "936-598-5059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 TENAHA ST",
            "city": "CENTER",
            "state": "TX",
            "postal_code": "759353404",
            "telephone_number": "936-598-2716",
            "fax_number": "936-598-5059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BELGARD",
        "first_name": "MICHAEL",
        "middle_name": "H",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2023-06-01",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "00477",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Center, TX

Sources for this page

Verify at the official NPI Registry.